| NPI | 1285848358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN KLEVA Director 574-631-8286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: IN 60005298A) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-08-07 |