| NPI | 1558623611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI DEROCHIE Billing Manager 620-260-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |