| NPI | 1700067972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J PENCE Owner 910-622-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 9401205) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 02123) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2014-08-04 |