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West Yavapai Guidance Clinic, Inc.
Mental Illness Community Based Residential Treatment Facility in Prescott, Arizona
NPI 1033163514

West Yavapai Guidance Clinic, Inc. is a Mental Illness Community Based Residential Treatment Facility based in Prescott, AZ. West Yavapai Guidance Clinic, Inc. practices in Prescott, AZ. The NPI Number for West Yavapai Guidance Clinic, Inc. is 1033163514 and holds a License No. BH1394 (Arizona).

The current practice location address for West Yavapai Guidance Clinic, Inc. is 711 Hillside Ave, Prescott, AZ and can be reached out via phone at 928-445-5211 and via fax at 928-717-1204. You can also correspond with West Yavapai Guidance Clinic, Inc. through the mailing address at 642 DAMERON DRIVE, PRESCOTT, AZ - 86303-2411 (mailing address contact number: 928-445-5211).

Location: 711 Hillside Ave, Prescott, AZ, 86303-2411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033163514
Provider Name
West Yavapai Guidance Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
711 Hillside Ave, Prescott, AZ, 86303-2411
Phone Number
928-445-5211
Fax Number
928-717-1204
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
692229 05 AZ
institution
Provider Business Practice Location Address Details
Address
711 Hillside Ave
City
Prescott
State
Arizona
Zip
86301
Phone Number
928-445-5211
Fax Number
928-717-1204
person
Provider Business Mailing Address Details
Address
642 Dameron Drive
City
Prescott
State
Arizona
Zip
86303-2411
Phone Number
928-445-5211
Fax Number
928-717-1204
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
BH-1394 (Arizona)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
BH1394 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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