| NPI | 1043383680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MARGIOTTA President 317-726-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01036943) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 01036943) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-10-26 |