WEST YAVAPAI GUIDANCE CLINIC, INC.; NPI #1033163514

Contact Information

WEST YAVAPAI GUIDANCE CLINIC, INC.

711 HILLSIDE AVE
PRESCOTT, AZ 86301

Phone: 928-445-5211
Fax: 928-717-1204
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Based Residential Treatment Facility, Mental Illness	320800000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X

Indicates primary specialty

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

NPI # 1033163514

LBN Legal business name WEST YAVAPAI GUIDANCE CLINIC, INC.

Authorized official TAMARA PLAYER - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/20/2006

Last updated 09/17/2024 - More than a year ago

Identifiers

AZ	License #	BH-1394
AZ	License #	BH1394
AZ	Medicaid	692229

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WEST YAVAPAI GUIDANCE CLINIC, INC.

Contact Information

Specialty

Community Based Residential Treatment Facility, Mental Illness

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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

Reviews for WEST YAVAPAI GUIDANCE CLINIC, INC.