| NPI | 1811641731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON L HAWKINS Owner/ Chiropractor 623-383-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2024-01-16 |