| NPI | 1386721249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMASINE HARRISON CFO 574-247-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 06-010984-1) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |