| NPI | 1578017182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID ABBASPOUR CEO 317-842-5771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IN 01034573A) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 01034573A) | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |