| NPI | 1710378583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE MOONZWE Secretary 909-222-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |