| NPI | 1881968444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH YALE DAVIS President 973-744-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NJ 38MC00160000) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2013-09-11 |