| NPI | 1023351236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVUNI K HARRISON Billing Manager 909-833-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |