| NPI | 1720211618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK BLACKWELL Managing Partner 606-886-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |