| NPI | 1891265732 |
|---|---|
| Doing Business As | BACK IN BALANCE |
| Entity Type | Organization |
| Authorized Contact | RIVER COCCO Billing Manager 310-606-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |