| NPI | 1154789436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA YUCATONIS Office Manager 812-634-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01039795A) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |