| NPI | 1659515930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY STREAT LASTINGER Owner 912-384-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |