| NPI | 1508262916 |
|---|---|
| Other Name | SOUTHEAST CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANGELA M ZAEGEL President/CEO 260-458-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2016-09-21 |