| NPI | 1568640290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES STEPHEN LIVINGSTON President 317-848-8048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002173A) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-08-20 |