NPI | 1871991836 |
---|---|
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 | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC6220) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2015-10-14 |