| NPI | 1003371220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN WEHREN VP Syst EMS Administration 219-476-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2023-04-27 |