NPI | 1013117118 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT CECIL WOODS Owner 276-415-9167 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: VA 30-f-001) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2022-07-21 |