NPI | 1649893892 |
---|---|
Former Legal Business Name | COAST ALIGN CHIROPRACTIC AND REHAB |
Entity Type | Organization |
Authorized Contact | DIANE BENIZZI CEO 228-447-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X |
Enumeration Date | 2020-05-22 |
Last Update Date | 2024-05-30 |