| NPI | 1326578006 |
|---|---|
| Doing Business As | CROSSFIT R837 |
| Entity Type | Organization |
| Authorized Contact | DERRICK MASON Owner, Therapist 270-904-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KY 106719) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |