| NPI | 1699122804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA DARLENE KIDWELL Occupational Therapist/Partner 606-922-0702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY R3006) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |