| NPI | 1043478225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE LASHANDA JAMISOM-WILLIAMS Occupational Therapist 219-981-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 31002428A) |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2008-05-24 |