| NPI | 1467601757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON MICHAEL CFO 260-726-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2017-05-02 |