| NPI | 1417334350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL Director Credentialing 570-271-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2025-08-07 |