| NPI | 1750447611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE E GABE President And Owner 317-465-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IN 34001287A) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |