| NPI | 1679136469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNI CULLEN Sr. Vice President 443-837-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| 208VP0000X Pain Medicine Pain Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-04-13 |