| NPI | 1164150876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESIKA CASEY Case Manager 858-248-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |