| NPI | 1821317405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ELLEN HASSELL Registered Dietitian 985-772-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 169345) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2018-03-24 |