| NPI | 1457753972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NDIDI EUGENE MADU President 317-946-0591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA 65703) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |