| NPI | 1922373570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LEE STENZ Social Worker 317-944-8984 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |