| NPI | 1710082250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENA SAGALOVSKY President 219-756-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: IN 01043789) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-04-08 |