| NPI | 1639645138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC RACITI Owner 808-457-5807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |