| NPI | 1174861454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT N SEVERINAC President 260-489-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01043388A) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |