NPI | 1215105663 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL DIANE FORTE Board President 260-459-6040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2008-02-19 |
Last Update Date | 2025-05-29 |