| NPI | 1629228242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOLLIN ASHLEY SOTOLONGO President 317-201-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 31004419A) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |