| NPI | 1710345541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA A CALHOUN Owner 719-648-6672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60107430) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |