| 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 |