| NPI | 1740583103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMILA RANDOLPH BATTLE CEO 888-312-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 251S00000X | |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2022-05-09 |