| NPI | 1508175316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN JORDAN Manager/Developmental Therapist 317-650-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |