| NPI | 1861936908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORY D JOHNSON Clinical Sleep Educator 928-899-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: AZ 16-00017353) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2017-04-24 |