| NPI | 1821170499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID IRWIN MALITZ CEO 812-421-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 08-004274-1) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-06-23 |