| NPI | 1316396815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBBY ANN BOBO President 270-994-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 200119099) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |