| NPI | 1629251830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS S CRIVELLI Owner 301-652-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2021-01-20 |