| NPI | 1356017107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIWUANA Y HARRIS CEO 317-703-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |