| NPI | 1235385014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LAZAR President 734-274-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009433) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |