| NPI | 1962118869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY AGARWAL President 317-507-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2024-07-02 |