| NPI | 1114197175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTYE DUNHAM Chief Executive Officer 812-945-4063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31003497A) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2010-12-03 |