| NPI | 1346954815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN RHIM Owner 240-535-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |