| NPI | 1780888396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L DUNN Owner 765-287-9767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IN 01039301) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-12-20 |