| NPI | 1447260575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR P MORAN Executive Director/CFO 765-284-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2015-04-17 |