| NPI | 1851726723 |
|---|---|
| Doing Business As | PERFORMANCE HEALTH GROUP |
| Entity Type | Organization |
| Authorized Contact | MATTHEW BLAKE MANIS Cheif Executive Officer 214-230-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 6118) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |