| NPI | 1306725841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEMI ADESOLA Director 346-874-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |