| NPI | 1902831225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE BODEN Director 317-706-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 06-003498-2) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |