| NPI | 1578165171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MAYNARD Developmental Interventionist 606-831-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |