| NPI | 1356698187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TIMOTHY SAHM Athletic Trainer 317-787-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: IN 36000279A) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |