| 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 |