| NPI | 1588141204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BLEDSOE Chief Executive Officer 856-404-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009678) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2020-08-21 |