| NPI | 1700335809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA N. NICOLAS CEO 909-904-3387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2024-08-26 |