| NPI | 1992131049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI HOLLISTER Director Of Operations 317-456-2764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01065672) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2022-01-17 |