| NPI | 1336695576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH BERSCH Manager 812-491-3856 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2018-08-13 |