| 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 |