| NPI | 1952772469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JOSEPH MOORE President 774-275-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002857A) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |