| NPI | 1346698123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA K THOMPSON Developmental Interventionist 606-782-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |