| NPI | 1841502093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA BEILKE Lead Speech Pathologist 219-374-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2010-07-03 |