| NPI | 1396612685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLODER ANDERS GEORGES COO 317-891-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |