| NPI | 1790068476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA RENEE SLATEN Co Owner 559-202-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2012-05-19 |