| NPI | 1710062690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS L. RICO President And CEO 260-483-4260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01031164A) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2009-12-08 |