| NPI | 1225903305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BRISUDA Owner 678-707-3468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |