Polara Health

LBN: West Yavapai Guidance Clinic, Inc.
Polara Health is an health care organization with primary practice located at 642 Dameron Dr , Prescott AZ 86301-2411. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. West Yavapai Guidance Clinic, Inc. can be contacted via phone (928) 445-5211, or through Langley, Kara via phone (928) 445-5211.

Contact Information

Primary practice address
642 Dameron Dr Prescott AZ 86301-2411
Fax: (928) 776-8484
Website:
Authorized official contact:
Name: Langley, Kara

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X BH309 Arizona

Profile Details

NPI number 1750335311
LBN Legal business name West Yavapai Guidance Clinic, Inc.
DBA Doing business as Polara Health
Authorized official Langley, Kara
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Jun 14th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750335311 NPPES
Arizona MEDICAID 591562

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