| NPI | 1548686025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL T.L. NEWSOM Sole Member 636-244-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2014002112) |
| Enumeration Date | 2014-03-08 |
| Last Update Date | 2019-07-25 |