| NPI | 1952911968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIE ANN BURNETTE Owner 276-733-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |