| NPI | 1346561248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE DEAN Owner/President/Therapist 502-338-9216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY R1713) |
| Additional Taxonomies | 251E00000X Home Health (Licence: KY R1713) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |