| NPI | 1255734042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANN FRIGO Director 219-764-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 32002230A) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |