| NPI | 1306141957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE S WITTKE President 260-456-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-03-07 |