| NPI | 1689016776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A FOOTE Administrator 317-888-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |