| NPI | 1790709376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY L TRIMBUR Executive Director 260-266-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-04-10 |