Organization
MYSA AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASEY NOWINSKI (PRESIDENT)
(219) 742-3273
Entity
Organization
Contact information
Practice address
5901 VOGEL RD, EVANSVILLE, IN 47715-4020
(812) 213-9000
Mailing address
5901 VOGEL RD, EVANSVILLE, IN 47715-4020
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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