| NPI | 1770747107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BENTON CEO 678-701-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |