| NPI | 1184933046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY B. GORGOL President 317-435-6149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 22002678A) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |