| NPI | 1407833858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN ANN CHERNOFF Facility Director 317-925-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 050024631) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-08-22 |