| NPI | 1629518063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CAITLIN BROWN Member 606-226-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 162430) |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2017-03-05 |