| NPI | 1235588088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA D WOODS Owner/Provider 270-314-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 137743) |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2016-06-11 |