| NPI | 1710693692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE KAYAL Operations Manager 734-536-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |