| NPI | 1609168087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY BECK KOSCIUSKO Chiropractic Physician 401-474-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: RI DC00594) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-07-15 |