| NPI | 1578843835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA B PRIDE President 217-359-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-09-29 |