NPI | 1407179559 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON ROBISON Chief Administrative Officer 260-423-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2010-03-03 |
Last Update Date | 2010-03-03 |