| NPI | 1972701688 |
|---|---|
| Doing Business As | LIFESTYLE BALANCE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | LARRY ROSS JOHNSTON Acting Chief Executive Officer 480-962-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |