NPI | 1780778266 |
---|---|
Entity Type | Organization |
Authorized Contact | JON GOLD Chief Executive Officer 219-945-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31000137A) |
235Z00000X Speech-Language Pathologist, (Licence: IN 22003978A) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2015-04-21 |