| NPI | 1619087624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY NAGEL Chief Financial Officer 317-576-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 101YM0800X Counselor Mental Health | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-06-24 |