| NPI | 1578074415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD MARCUS ALLEN President/Doctor 410-244-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S01983) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |