WEST YAVAPAI GUIDANCE CLINIC INC NPI 1811337637

NPI Information

WEST YAVAPAI GUIDANCE CLINIC, INC is a mental health (including community mental health center) clinic center in Chino Valley, AZ. WEST YAVAPAI GUIDANCE CLINIC, INC NPI is 1811337637. The provider is registered as an organization entity type.
The provider Is Doing Business As Polara Health.

The provider's business location address is:

555 W ROAD 3 N
CHINO VALLEY, AZ
ZIP 86323-363
Phone: (928) 445-5211

The provider's authorized official is Kara D Langley .
The authorized official title is Cao and has the following contact phone number (928) 445-5211.

The CLIA number assigned to this NPI record is 03D0971787 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2013 and was last updated on 6/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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