| NPI | 1831780303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRETTI MONTALVO Chiropractor Manager 864-401-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-30 |