| NPI | 1477703833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN GWENETH LOCKHART President 248-539-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-12-16 |