| NPI | 1902128481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY DAVID BROADHEAD President/Chiropractor 980-406-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3957) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |