| NPI | 1972948289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK G COCKRUM CEO 317-745-4715 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |