NPI | 1558012021 |
---|---|
Former Legal Business Name | ACHIEVE MORE SPORTS AND WELLNESS |
Doing Business As | ACHIEVE MORE SPORTS AND WELLNESS |
Entity Type | Organization |
Authorized Contact | STACEY LOUISE DAULT Owner 602-413-8710 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2022-01-15 |
Last Update Date | 2024-04-09 |