| NPI | 1962706770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNTER ALVERT HEARN Owner / Physician 866-499-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 2010-01857) |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2011-01-08 |