| NPI | 1184995862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN HERRING-ANTHONY Owner 317-257-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IN 31002231A) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |