| NPI | 1023314176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI WARD Administrator 888-884-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 208D00000X General Practice |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| 2472E0500X Technician, Other, EEG | |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2025-02-06 |