| NPI | 1770544017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE A. LEWIS Managing Member 606-877-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: KY 750070) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2013-12-12 |