| NPI | 1760715346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS W ELLIS Health Officer 765-932-3103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IN 01015227A) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |