| NPI | 1053640979 |
|---|---|
| Doing Business As | OPTIMUM FAMILY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ANNETTE WRIGHT-SMITH Owner/Provider 623-936-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: AZ 7371) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2010-03-08 |