| NPI | 1780174136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKDEB DATTA President 615-479-4692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NJ 25MA08823500) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |