| NPI | 1144935552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KACHKO Owner 929-379-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 171100000X Acupuncturist | |
| 202D00000X | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |