| NPI | 1982061792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY FARRELL Statutory Agent 480-945-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |