| NPI | 1790821387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD SAMSON Co Owner 413-532-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 919) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 1092) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-08-07 |