| NPI | 1194180901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRUTHI KONDUR President 313-495-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: MI 4301086330) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |