| NPI | 1346515095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY ANTHONY BROWN CEO 619-218-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| 261QR0208X Clinic/Center Radiology, Mobile | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |