| NPI | 1548910599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA SPIVEY Central Support Specialist 317-869-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-05-14 |