| NPI | 1376780916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA EDWARDS Director 317-621-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 080025781) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2019-01-25 |