| NPI | 1902204076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MARTIN Director 574-372-7638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IN 71005240A) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |