| NPI | 1821329723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R. BOYER Chief Executive Administrator 574-296-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2014-05-09 |