| NPI | 1396022778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA L. EASTIN President 317-847-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 37000119A) |
| Enumeration Date | 2011-11-13 |
| Last Update Date | 2011-11-13 |