| NPI | 1245538289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MICHELLE VANDERHORST Midwifery Director,Owner 260-316-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Additional Taxonomies | 176B00000X Midwife |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01057752A) | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2024-09-06 |