| NPI | 1417366634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BEESON CEO 317-846-0846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 01026997A) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |