| NPI | 1174071310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY MARX KIPER Developmental Interventionist 812-430-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 201112352) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2019-10-25 |