OBSIDIAN CHIROPRACTIC, LLC

GRAND RAPIDS, MI
NPI1154967651
Entity TypeOrganization
Authorized ContactCHARLES JUSTIN AUSTIN
Owner
850-218-0677
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2019-11-20
Last Update Date2019-11-20
Business Address
OBSIDIAN CHIROPRACTIC, LLC
2504 ARDMORE ST SE STE 102
GRAND RAPIDS, MI 49506-4901
Phone number: 850-218-0677
Mailing Address
OBSIDIAN CHIROPRACTIC, LLC
319 LYON ST NE APT 1
GRAND RAPIDS, MI 49503-3381
Phone number: 850-218-0677