| NPI | 1194251025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAITES CEO 334-322-5340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 20174444) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-08-29 |