| NPI | 1366879009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA PHALEN Corporate Director Charge Ca PT Ure 219-554-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2023-02-13 |