| NPI | 1619442290 |
|---|---|
| Other Name | CRETEX BE WELL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRY LAYMAN Corporate Medical Officer 317-727-6898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2022-10-20 |