| NPI | 1386903672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM COHEN Manager 770-680-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: GA 00228865) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: GA 00228865) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2015-06-24 |