| NPI | 1598087793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HULSE President 317-508-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL 146.009511) |
| 252Y00000X Early Intervention Provider Agency (Licence: IL 146.009511) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-06-23 |