| NPI | 1770295677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MICHELLE GREGORY Early Intervention Provider 606-310-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-22 |