| NPI | 1104286152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL KING Officer 270-839-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 1582) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |