| NPI | 1306297817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMEAN FREAS CEO 410-571-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2018-09-04 |