| NPI | 1780183947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH SHAKLEE Practice Administrator 410-266-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: MD D0035494) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-06-26 |