| NPI | 1215124474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E WASHINGTON Owner 219-985-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IN 01030968) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2012-01-18 |