| NPI | 1376859686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNN BOYLEN Registered Nurse 606-364-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 1097620) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |