| NPI | 1265863187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIR ABDUL KARIM MOSHREF President/CEO 260-478-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01042546) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |