| NPI | 1467039362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK GRAY Director 844-212-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-26 |