| NPI | 1508403528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE WADE COO 928-607-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |