| NPI | 1013122118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL SHENKMAN Medical Director 866-986-2983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: GA 036000) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |