| NPI | 1841623063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A CHISELOM Office Manager 586-920-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 111NX0800X Chiropractor, Orthopedic | |
| 133N00000X Nutritionist | |
| 163WP0000X Registered Nurse, Pain Management | |
| 171100000X Acupuncturist | |
| 175F00000X Naturopath | |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |