| NPI | 1689912214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY JOHNSON Office Manager 304-252-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2024-09-05 |