NPI | 1295531747 |
---|---|
Doing Business As | BLACK STONE HEALTH |
Entity Type | Organization |
Authorized Contact | JOSH LEDER Administrator 801-641-5613 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
208VP0000X | |
261Q00000X Clinic/Center | |
Enumeration Date | 2025-02-24 |
Last Update Date | 2025-02-24 |