| NPI | 1487502092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILDMAN Owner 812-298-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2026-03-19 |
| Last Update Date | 2026-03-23 |