| NPI | 1912319708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOUK Owner 270-763-8225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 4383) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |