NPI | 1285804732 |
---|---|
Doing Business As | LITTLESTAR ABA |
Former Legal Business Name | LITTLE STAR CENTER, INC. |
Entity Type | Organization |
Authorized Contact | CHRIS KIRK Vice President Of Insurance 317-249-2242 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2008-03-11 |
Last Update Date | 2022-08-09 |