| NPI | 1659572659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH HABERSTROH CEO 617-666-1767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: MA 1330) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2016-02-19 |