| NPI | 1811226509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J MOREHEAD President 765-342-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 08002466A) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |