| NPI | 1811184989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE SWANSON REEVES President 765-286-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01039273A) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2013-09-24 |