| NPI | 1063902716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELENE CALLAHAN Sole Manager 732-640-0725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38mc00609100) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |