| NPI | 1013262351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE BRADLAW Chairman 219-707-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center Emergency Care (Licence: IN 02003905B) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2013-03-06 |