| NPI | 1205149143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN E ALLEN Sole Member Of LLC 317-850-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 31004141A) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |