| NPI | 1346628492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA HOLTZ Owner 317-405-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 22005410A) |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2015-05-09 |