| NPI | 1093028797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYN FISH Owner 317-696-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 22003729A) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |