| NPI | 1760442883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN ERNEST Secretary/Treasurer 812-485-4573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 040039451) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2008-04-20 |