| NPI | 1346322492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE P BROOKS Owner Provider 812-285-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IN 71001986B) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |