| NPI | 1497307599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY L EMBRY Occupational Therapist 502-741-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |