| NPI | 1053846733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOMI YAMANAKA Executive Clinical Director 317-517-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2024-12-04 |