| NPI | 1003135294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CONLY President 484-802-5943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: DE 10-92131-05-000) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2011-12-14 |