| NPI | 1366998148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN MAYNES Teacher Development Interventist 606-521-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-09-12 |