| NPI | 1215111596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAINE SIMON CAMERON Owner 877-412-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: FL ME86864) |
| Enumeration Date | 2007-12-23 |
| Last Update Date | 2021-08-03 |