| NPI | 1396168902 |
|---|---|
| Doing Business As | MOUNTAIN HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | NORMAN E. MUDD Chief Executive Officer 480-983-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ Med 5473) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2015-10-14 |