| NPI | 1780447334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN BLACK Clinic Director 360-975-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |