| NPI | 1003292483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MANDABACH Director Of Business Ops 317-706-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2023-04-11 |