National Provider Identifier Database

WEST YAVAPAI GUIDANCE CLINIC INC
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


Contact Information

WEST YAVAPAI GUIDANCE CLINIC, INC.
711 HILLSIDE AVE
PRESCOTT, AZ86301
Phone: 928-445-5211
Fax: 928-717-1204
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for WEST YAVAPAI GUIDANCE CLINIC, INC.

NPI Number 1033163514
Legal business name
LBN
WEST YAVAPAI GUIDANCE CLINIC, INC.
Authorized official TAMARA PLAYER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 05/20/2006
Last updated 09/17/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: BH-1394
  • AZ License #: BH1394
  • AZ Medicaid: 692229

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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