| NPI | 1932408168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WARDEN CARPENTER Managing Member 505-564-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NM 1885) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2012-05-01 |