| NPI | 1619867207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE SANDERS VP Systems Administration 219-476-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |