| NPI | 1407206683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY D NELSON Developmental Interventionist 502-724-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 199901318) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |