| NPI | 1902145394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN MEYER JONES President Of Corporation 219-462-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 68000075A) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2024-02-14 |