| NPI | 1326192345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA MARIE JOHNSON Executive Director 502-493-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: KY 33900143) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2015-05-06 |