NPI | 1053366716 |
---|---|
Doing Business As | HILLSIDE OUTPATIENT CLINIC |
Doing Business As | POLARA HEALTH |
Entity Type | Organization |
Authorized Contact | TAMARA PLAYER CEO 928-445-5211 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ CSLG6205) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: AZ BH309) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2024-09-25 |