| NPI | 1760701668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWIN PORTERFIELD Physician 304-255-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |