| NPI | 1659633758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADETUNJI SAMUEL ADEYANJU CEO 317-937-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |