NPI | 1366770794 |
---|---|
Entity Type | Organization |
Authorized Contact | LISSA DILLON Speech Language Pathologist 812-537-8208 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 22002841) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IN 22002841) |
Enumeration Date | 2009-11-23 |
Last Update Date | 2009-11-23 |