| NPI | 1275765455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DONAHUE Director 317-595-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: IN 50003882A) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |