| NPI | 1700303203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA N BOEHLE Owner 480-552-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2022-08-16 |