| NPI | 1427118066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B. ROACH President 704-853-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NC 1883) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: SC 1593) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-02-23 |