| NPI | 1184903064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W. DAUTEL President/CFO 904-276-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-10-31 |