NPI | 1780080077 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER YATES Owner 615-335-0347 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: TN 4058) |
Enumeration Date | 2014-11-13 |
Last Update Date | 2014-11-13 |