| NPI | 1972626307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPANIE K LASLEY Business Manager 765-181-9497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: IN 06-004915-3) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |