| NPI | 1487950390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXWELL LAWRENCE STEPHEN MITCHELL Co Owner 203-233-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001850) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |