| NPI | 1124298443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAILA GOMAA President 937-291-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain (Licence: OH 350868963G) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 1982) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: OH 35-068963) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2011-01-10 |