| Organization Name: | PAIN RELIEF CENTER OF CAPE COD |
| NPI Number: | 1346661295 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WAYNE D HICKS (CEO) |
| Mailing Address: | 1 E Main St Northborough |
| State: | MA US |
| Postal Code: | 015321662 |
| Phone Number: | 5083944847 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2013 |
| NPI Last Update Date: | 12/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 28559 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |