NPI | 1285927038 |
---|---|
Doing Business As | COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | SHOLA BOYE Clinic Administrator 317-924-3017 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2011-05-25 |
Last Update Date | 2022-07-21 |