| NPI | 1316320799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RUTHERFORD Credentialing Coordinator 317-837-5566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2025-05-12 |