| NPI | 1407921794 |
|---|---|
| Other Name | COMMUNITY GROUP CRNA |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM Chief Financial Officer 317-355-5822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2009-07-29 |