| NPI | 1902252059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA S POPE PT/ Pres. 606-219-1908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 001530) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |