NPI | 1225077373 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE BODEN Executive Director 317-706-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 060034971) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2008-07-15 |