| NPI | 1245502947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE R DANDRIDGE CEO 219-882-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01036379) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |