Provider Demographics
NPI:1336832963
Name:SLOCUM AND MAUTONE HARMONY CENTER CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:SLOCUM AND MAUTONE HARMONY CENTER CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAUTONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-328-6748
Mailing Address - Street 1:6535 SHATTUCK AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1017
Mailing Address - Country:US
Mailing Address - Phone:510-473-2620
Mailing Address - Fax:
Practice Address - Street 1:6535 SHATTUCK AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1017
Practice Address - Country:US
Practice Address - Phone:510-473-2620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Single Specialty