| NPI | 1861757023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENILE J ABELL President 317-826-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: IN 71002899B) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 71002899B) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |