| NPI | 1851510374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER D GEORGE Executive Director 606-875-2137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2015-03-12 |