| NPI | 1831438225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA WILLIS Sole Member 302-521-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |