| NPI | 1578721908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PAUPORE Speech Language Pathologist 219-951-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 22004299a) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |