NPI | 1477100048 |
---|---|
Entity Type | Organization |
Authorized Contact | LORA HALL Licensed Psychological Practitioner 606-226-5295 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2019-08-19 |
Last Update Date | 2019-08-19 |