| NPI | 1679767040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE GLISSON Practice Manager 301-262-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |