| NPI | 1841231792 |
|---|---|
| Former Legal Business Name | NORTH HAVEN PAIN MEDICINE CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN BAILEY Officer/Authorized Official 203-609-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CT 0306) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2024-01-19 |