| NPI | 1699196006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SUE LOGSDON Owner 270-230-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 201093376) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-21 |