| NPI | 1972799427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRADLEY RAY President 812-330-9962 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01046774A) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |