| NPI | 1194888057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED G MILLER CFO And Treas 812-479-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |