NPI | 1215083886 |
---|---|
Entity Type | Organization |
Authorized Contact | JONI G HYRICK Administrative Director 716-446-5928 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CO 1173) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-08-22 |