| NPI | 1366953101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ASHLEY WASHINGTON Board Chairman 708-914-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 261QR1100X Clinic/Center Research |
| 261QH0100X Clinic/Center Health Service | |
| 261QP3300X Clinic/Center Pain | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |