| NPI | 1871547430 |
|---|---|
| Doing Business As | POLARA HEALTH |
| Doing Business As | CORTEZ CLINIC |
| Entity Type | Organization |
| Authorized Contact | KARA LANGLEY CAO 928-445-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC6686) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: AZ BH178) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-06-14 |