| NPI | 1295708246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA WEHRMEISTER Officer/Authorized Official 260-760-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 0573AS) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2025-05-30 |