| NPI | 1902194491 |
|---|---|
| Doing Business As | COMMUNITY CARE WEST |
| Entity Type | Organization |
| Authorized Contact | THEODORE T. BROWN COO 765-453-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IN 11-005007-1) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |