| NPI | 1962171298 |
|---|---|
| Doing Business As | KALEIDOSCOPE CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER TACKITT Executive Director 317-383-7097 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |