| NPI | 1992391551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY RUST Billing Manager 302-346-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2021-01-29 |