| NPI | 1538597877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRUTHI KONDUR President 313-831-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: MI 4301086330) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2019-02-03 |