| NPI | 1093339269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEWW GOMEZ Owner 704-323-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2023-11-08 |