| NPI | 1326273988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT CUNNINGHAM President, CEO 219-989-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IN 01049085A) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |