West Yavapai Guidance Clinic, Inc
West Yavapai Guidance Clinic, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
711 Hillside AvePrescott, AZ 86301
Phone: (928) 445-5211
Fax: (928) 717-1204
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence BH-1394 (AZ) |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X · Licence BH1394 (AZ) |
Record details
| NPI number | 1033163514 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | West Yavapai Guidance Clinic, Inc |
| Authorized official | Tamara Player — Chief Executive Officer · (928) 445-5211 |
| Other names | Haddon House; Haddon House; Polara Health |
| NPI enumerated | May 20, 2006 |
| Last updated in NPPES | September 17, 2024 |
| Certification date | September 17, 2024 |
| Mailing address | 642 Dameron Dr Ste B, Prescott, AZ 86301-2411 |