| NPI | 1508368465 |
|---|---|
| Doing Business As | SOUTHWEST HEALING AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ASHLEY PFATENHAUER Credentialing Specialist 435-215-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |