NPI | 1669634366 |
---|---|
Entity Type | Organization |
Authorized Contact | VICKI L STANDAFER President 502-817-4241 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 1918) |
Enumeration Date | 2008-06-25 |
Last Update Date | 2008-06-25 |