| NPI | 1194169284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN RAY CRUM COO/Managing Owner 757-675-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: VA 03378) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |