| NPI | 1477225415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY MCBAY Administrator 501-499-9825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-10-13 |