| NPI | 1760434732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L RILEY Administrator 214-943-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |