| NPI | 1851626386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM CASSEL CEO 317-881-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker Clinical | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 252Y00000X Early Intervention Provider Agency (Licence: IN 22004716A) | |
| 261QD1600X Clinic/Center Developmental Disabilities (Licence: IN 22004716A) | |
| 261QH0700X Clinic/Center Hearing and Speech (Licence: IN 22004716A) | |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2013-02-07 |