Organization
CORNERSTONE AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PAUL IDE (EXECUTIVE DIRECTOR)
(317) 797-8580
Entity
Organization
Contact information
Practice address
360 POLK ST., GREENWOOD, IN 46143
(317) 888-1557
(317) 888-1571
Mailing address
360 POLK ST., GREENWOOD, IN 46143
(317) 888-1557
(317) 888-1571
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
01/07/2011
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