Organization
PRECIOUS BEGINNINGS THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DOMINIQUE LASHANDA JAMISON-WILLIAMS (OWNER)
(219) 805-3355
Entity
Organization
Contact information
Practice address
6111 HARRISON ST, SUITE 311 C, MERRILLVILLE, IN 46410-2969
(219) 805-3355
Mailing address
6111 HARRISON ST, SUITE 311 C, MERRILLVILLE, IN 46410-2969
(219) 805-3355
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
31002428A
IN
Other
Enumeration date
09/16/2012
Last updated
09/16/2012
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