| NPI | 1629086087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LESNICK Vice President 757-594-4006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-10-07 |