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 | 2024-11-19 |