| NPI | 1043500010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY BREHM Chief Financial Officer 317-783-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: IN 37001310A) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |