| NPI | 1326126418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA KNIPE Product Line Manager 317-630-6872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: IN 28089838A) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |