| NPI | 1457618696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY KEMOLI SAGALA Director 734-956-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301004989) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |