| NPI | 1790028173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMA GAIL EDWARDS President 317-873-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01036111) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2018-04-30 |