| NPI | 1285336362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE S KEY III Office Manager 248-432-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-07-26 |