NPI | 1801106299 |
---|---|
Doing Business As | ACTIVE FAMILY WELLNESS CENTER |
Doing Business As | MODUS VIVENDI CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | KENYON GODWIN President/Owner 817-557-2770 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11576) |
Enumeration Date | 2010-10-19 |
Last Update Date | 2024-06-28 |