| NPI | 1346738796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHZAD AALAEI Medical Director 219-805-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: FL ME134400.) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |