| NPI | 1083097653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE MICHELLE MOUCHETTE Owner 575-373-8415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: NM R44376) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2016-03-04 |