| NPI | 1376812917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA SUE MILLER Dietitian 317-509-4018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 37000533A) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |