| NPI | 1881734697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L MOORE Executive Director 260-338-1241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 163WP0200X Registered Nurse, Pediatrics | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 373H00000X Day Training/Habilitation Specialist | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2016-02-26 |