| NPI | 1912323742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY CHATHAM Owner 317-886-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: IN 14001355A) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2016-01-14 |