| NPI | 1639310824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASTRY K TOPALLI Director 757-410-4219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: VA 0101236432) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-11-20 |