| NPI | 1790036259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH A TRUEB CEO 317-517-1562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IN MT20902941) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |