| NPI | 1255293668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MACHELLE SHANKS Owner 314-225-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2025-11-25 |