| NPI | 1386109478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA SPIVEY Implementation And Onboarding COO Rd 317-869-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2024-03-29 |