NPI | 1134395510 |
---|---|
Entity Type | Organization |
Authorized Contact | PATSY A. DONN President And CFO 260-422-2838 |
Organization Subpart ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IN 20090014A) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2008-05-05 |