| NPI | 1902220619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANG SUNG KIM Chiropractor/ Owner 410-493-8387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012364) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-03-12 |