| NPI | 1699142133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ARLENE REED Vice President 317-272-8138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IN 20042119A) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-10-27 |