| NPI | 1386366755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ESRAELIAN CEO/Co Founder 424-387-6806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |