NPI | 1508012733 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL E. ASHLEY Director/Owner 765-348-4489 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 05001672a) |
Additional Taxonomies | 174400000X Specialist (Licence: IN 05001672a) |
Enumeration Date | 2008-08-07 |
Last Update Date | 2008-08-07 |