| NPI | 1609024702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMFIS FAHIM Medical Director 888-506-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: DE 4582026) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2013-07-02 |