| NPI | 1306295340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN GUYNN Developmental Therapist 270-871-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 201135075) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |