| NPI | 1467825182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN MIRACLE President/Owner 606-302-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |