| NPI | 1073052353 |
|---|---|
| Former Legal Business Name | GREEN LIFE CHIROPRACTIC & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRANDT GREEN Doctor Of Chiropractic 410-224-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD S03711) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-08-28 |