| NPI | 1760818595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CLINT WADDELL Administration 276-525-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 104100000X Social Worker |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2022-06-16 |