| NPI | 1295369676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA L GILLEN Director Of Business Development 219-779-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |