| NPI | 1891034252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BUXSER COO 317-880-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2014-01-30 |