| NPI | 1801368188 |
|---|---|
| Doing Business As | ASPIRE INDIANA HEALTH-DEHAVEN |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D CROCKETT CFO 317-587-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2023-11-03 |