| NPI | 1598137705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEITHA CHARMAINE BURTON Revenue Cycle Manager 505-539-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 011346) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2021-08-24 |