Organization
KIDS SOURCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA MARTIN-BROWN M.S., NCSP (PRESIDENT)
(317) 873-6952
Entity
Organization
Contact information
Practice address
260 BEECHWOOD LN, ZIONSVILLE, IN 46077-1213
(317) 873-6952
(317) 873-6952
Mailing address
260 BEECHWOOD LN, ZIONSVILLE, IN 46077-1213
(317) 873-6952
(317) 873-6952
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
200724480A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200724480A
FIRST STEPS PROVIDER NO
IN
Enumeration date
10/25/2006
Last updated
04/15/2008
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