| NPI | 1104111061 |
|---|---|
| Doing Business As | LIFEWELL - MITCHELL |
| Entity Type | Organization |
| Authorized Contact | DORIS VAUGHT Chief Executive Officer 602-599-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6539) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2020-11-23 |