NPI | 1295900181 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE KORTE Sole Proprietor 317-985-6458 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 22003136A) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |