| NPI | 1952032328 |
|---|---|
| Former Legal Business Name | AZ PURE WELLNESS LLC |
| Doing Business As | AZ PURE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | VIVIAN FAJARDO Clinician Manager 602-825-3925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2025-03-17 |