| NPI | 1427704246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WEIGNER Owner/C CEO 610-876-6180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |