| NPI | 1972668465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MITCHELL LEAVITT Sole Member 732-530-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00481400) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |