| NPI | 1538298336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA ROBERSON Cco 443-707-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OR MD17937) |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2025-06-04 |