| NPI | 1467523316 |
|---|---|
| Other Name | CORPORATION |
| Entity Type | Organization |
| Authorized Contact | GREGORY JOHN CUSACK President Owner 925-945-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |