| NPI | 1558903849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LANE BROOKS President 707-346-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2023-07-01 |