| NPI | 1194997965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY JEAN ANDERSON Executive Director 317-621-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IN 080078861) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2009-04-20 |