| NPI | 1205106713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA A. ZICKEFOOSE Owner, Special Instructor 304-613-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WV 4954) |
| Enumeration Date | 2012-01-01 |
| Last Update Date | 2012-01-01 |