| NPI | 1174841837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI JENNINGS CHRYSANTHOPOULOS Program Manager 318-450-3378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |