| NPI | 1902195894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R CLARKE Authorized Official 719-484-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2012-03-26 |