| NPI | 1003535717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA Y HUGHES Director Of Operations 317-385-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |