| NPI | 1164589313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE E CARRILLO Clinic Director 401-374-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: RI DCP00457) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-04-29 |