| NPI | 1457073900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP JOSEPH CEO 510-919-4852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-10-23 |