| NPI | 1801123328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHHEANY WALTER UNG President 717-418-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: VA 0101242119) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |