NPI | 1962069831 |
---|---|
Entity Type | Organization |
Authorized Contact | MADISON BELL Owner 808-707-9108 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2019-05-25 |
Last Update Date | 2021-08-16 |