| NPI | 1720449093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB ULTIMO Chiropractor 508-250-7359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA 3095) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |