NPI | 1922089416 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY GUIDRY CEO 704-815-7804 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
Enumeration Date | 2005-11-10 |
Last Update Date | 2009-10-06 |