| NPI | 1760597116 |
|---|---|
| Doing Business As | BACK TO HEALTH WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRUCE ALVIN CRISMAN President 605-718-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SD 774) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-03-20 |