NPI | 1487955621 |
---|---|
Entity Type | Organization |
Authorized Contact | JODI GOGOS Speech Language Pathologist 260-450-3617 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 22002999A) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2010-12-14 |