| NPI | 1578096616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA LYNN FRAZIER-BROOKS Agency Administrator/Owner 606-922-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |