| NPI | 1962681734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMBI MCQUADE-JONES Executive Director 765-483-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: IN 71000784B) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2014-02-04 |