| NPI | 1922103613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SNYDER Secretary/Registrar 765-647-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IN BL6025589) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |