| NPI | 1386064376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL OWEN BURGAN President 765-438-1647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: IN 01023827A) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |