| NPI | 1821469495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VANDEPUTTE Credentialing Specialist 317-637-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |