NPI | 1578517108 |
---|---|
Doing Business As | POLARA HEALTH |
Doing Business As | RUTH STREET CLINIC |
Entity Type | Organization |
Authorized Contact | TAMARA PLAYER CEO 928-445-5211 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: AZ BH1809) |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC6571) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2024-07-10 |