| NPI | 1598186868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JANE GIBSON Owner 606-677-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103K00000X Behavior Analyst | |
| 172V00000X Community Health Worker | |
| 174400000X Specialist | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2023-07-19 |