| NPI | 1215074042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CARDOSO MEDEIROS Manager 508-984-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |