| NPI | 1124293501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA B JAVIER Pres 502-473-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY Ky1643) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |