| NPI | 1770099855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY B MOHAR Dc/Owner 864-962-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NY X012196-1) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |