| NPI | 1992947444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA THORNTON Owner 307-638-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: WY 6272A) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |