| NPI | 1548400070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI MOORE-SANTOS Executive Director 765-298-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 080041741) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |