| NPI | 1114111572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ARTHUR JACKSON President 810-695-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301003001) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2012-01-18 |