NPI | 1487268413 |
---|---|
Doing Business As | ASPIRE INDIANA HEALTH-PROGRESS HOUSE MAIN |
Entity Type | Organization |
Authorized Contact | TIMOTHY D CROCKETT CFO 317-587-0505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-09-08 |
Last Update Date | 2024-11-14 |