| NPI | 1245751965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LYNN THORNTON Occupational Therapist 270-784-9653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-21 |