| 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 |