| NPI | 1144007188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONYA JORDAN Auditor 219-866-4654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |