| NPI | 1689912859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY ZHOU Medical Director 502-523-3846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: WA 60084653) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |