| NPI | 1700881745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK A DEHEER CEO 800-615-1363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 05-004157-2) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |