| NPI | 1841749900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN MARISSA HILLERICH Otr/L 502-693-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 132478) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: KY 140249) |
| 252Y00000X Early Intervention Provider Agency (Licence: KY 105787) | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |