| NPI | 1316195035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED JUNG Technical Supervisor 208-699-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2008-09-06 |