| NPI | 1235568858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB CLOUSER Agent 931-919-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: TN 4105) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |