NPI | 1871602987 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN PAUL MELLOR Chiropractic Physician 208-356-6009 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: ID C343) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2009-02-06 |