| NPI | 1891119384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOUIS JACKSON President/ Sole Member 717-558-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009870) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |