| NPI | 1649625187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN CAMDEN General Manager 3033-968-5923 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |