| NPI | 1124873591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKEYIA BRAXTON Insurance Coordinator 844-409-4657 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |