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 |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-02-19 |