| NPI | 1316664907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KLAIN Manager 317-658-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-11-16 |