| NPI | 1003263054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MCCOY Developmental Interventionist 502-298-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 200201781) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-24 |