| NPI | 1588663579 |
|---|---|
| Other Name | COMMUNITY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD P FESKO CEO 219-836-1600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-07-21 |