| NPI | 1619008257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT DECRISCIO President 301-739-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MD S02007) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-05-20 |