| NPI | 1801106299 |
|---|---|
| Doing Business As | ACTIVE FAMILY WELLNESS CENTER |
| 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 |