| NPI | 1114946332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES B KUBASKO Owner 919-781-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-07-10 |