| NPI | 1174712848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE A LEWIS Managing Member 606-877-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2013-12-13 |