| NPI | 1912551524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANDA BROWNLER Development Communication Therapist 260-497-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |