| 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 |