| NPI | 1538343009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SWENBERG President 317-752-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01052923) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2010-09-22 |