| NPI | 1508597741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH A BELTZHOOVER Revenue Cycle Management Director 800-678-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-07-25 |