| NPI | 1770725244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE T. MILNER President 260-458-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 71000514A) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |