| NPI | 1679961056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY L. LOCKRIDGE Assiction Counselor 913-980-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KS LAC709) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |