| NPI | 1609288109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN P. CROUCHER Member 859-302-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 0836428) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |