NPI | 1013134782 |
---|---|
Entity Type | Organization |
Authorized Contact | LONIE C HARRIS President, CEO 810-715-1225 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301007784) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2016-01-20 |