| NPI | 1104280742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ALEXANDER Member 859-322-7623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 403920923) |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2016-04-10 |