| NPI | 1164699971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES F HASBROOK President 317-875-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01027070) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2024-01-04 |