| NPI | 1770853939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY L NASTALLY Owner 270-908-0461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: KY 800217) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY KY-0016) |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2021-07-08 |