| NPI | 1760194831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA D MICHAEL Interdisciplinary Early Childhood 270-670-5357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |