Organization
COLLABORATING FOR KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM CASSEL (CEO)
(317) 881-9923
Entity
Organization
Contact information
Practice address
1701 LIBRARY BLVD STE A, GREENWOOD, IN 46142-1567
(317) 881-9923
Mailing address
1701 LIBRARY BLVD STE A, GREENWOOD, IN 46142-1567
(317) 881-9923
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
252Y00000X
Early Intervention Provider Agency
22004716A
IN
261QD1600X
Developmental Disabilities Clinic/Center
22004716A
IN
261QH0700X
Hearing and Speech Clinic/Center
22004716A
IN
Other
Enumeration date
10/16/2009
Last updated
02/07/2013
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