| NPI | 1972059590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN NEWMAN Member 859-300-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 133943) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-01-31 |