| NPI | 1497782833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE BODEN Director 317-706-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 06-003497-1) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-12-10 |