| NPI | 1184969420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SHELTON Facility Manager 618-549-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2013-04-16 |