| NPI | 1124315700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA JANE MAYER B.O. Manager 529-852-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2018-08-06 |