| NPI | 1942543350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNSEY CLINE Owner 304-488-4372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VA 0119005856) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2015-01-13 |