| NPI | 1528576444 |
|---|---|
| Doing Business As | MOUNTAIN MEDICINE INTEGRATIVE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | BRET BARTHOLOMEW WOJCIAK CEO 928-226-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 17-1671) |
| 225700000X Massage Therapist (Licence: AZ MT-18734) | |
| 225700000X Massage Therapist (Licence: AZ MT-14764) | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2020-05-17 |