| NPI | 1003123746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULLA B PEDERSEN Managing Partner 757-646-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain (Licence: VA 0102050102) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |