| NPI | 1487125720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY GAIL FERRELL Developmental Interventionist 606-305-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |