| NPI | 1164581559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE R. JACOB Delegated Official 419-794-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-07-10 |