Organization
HORIZON HEALTH AND WELLNESS, INC.
Active
Other names
Mountain Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN E. MUDD MA, LMFT (CHIEF EXECUTIVE OFFICER)
(480) 983-0065
Entity
Organization
Contact information
Practice address
625 N PLAZA DR, APACHE JUNCTION, AZ 85120-5501
(480) 983-0065
(480) 288-5339
Mailing address
625 N. PLAZA DRIVE, APACHE JUNCTION, AZ 85120-5501
(480) 983-0065
(480) 671-4541
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OTC6220
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
APPLYING FOR FQHC NEW PROVIDER TYPE C2
AZ
Enumeration date
12/08/2014
Last updated
10/14/2015
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