Extra Special Parents of Indiana, LLC

NPI #1033505946 in Madison, Indiana

Provider Information

NPI Number
1033505946
Entity Type
Organization
Organization Name
Extra Special Parents of Indiana, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 8, 2015
Last Updated
Apr 8, 2015

Practice Location

Address
402 W MAIN ST
State
Indiana
ZIP Code
47250-3717
Phone
(812) 274-0228

Authorized Official

Name
MS. DEBORAH OOLEY, MS
Title
VICE PRESIDENT
Phone
(812) 274-0228

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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