NPI | 1831497874 |
---|---|
Entity Type | Organization |
Authorized Contact | BASIL S. WEINMAN President/CEO 765-569-2076 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IN 200714620) |
Enumeration Date | 2011-02-28 |
Last Update Date | 2011-02-28 |