NPI | 1043317415 |
---|---|
Doing Business As | NEW DIRECTIONS WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | C. JOHN KRAFT Director Of Managed Care 574-523-7914 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 06-005017-1) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2009-12-03 |