| NPI | 1447520291 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JAMES PATRICK KELLY President 574-647-6500 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01034778A) | 
| Enumeration Date | 2012-01-11 | 
| Last Update Date | 2012-01-20 |