| NPI | 1811051485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE MEYLER President 3103-121-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: CA W20501) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-02-06 |