| NPI | 1285116434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORVILLE C BARNES CEO 917-945-9406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: DE 2013101408) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: DE 2013101408) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |