| NPI | 1144670282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KRISTOF WATTERSON Registered Dietitian 615-438-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 125985) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |