| NPI | 1548331630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SUE MCCOY Credentialing Coordinator 740-389-2297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2012-04-04 |