NPI | 1972764595 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDRA GAYLE COURTENAY President 502-896-1193 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 1148) |
Enumeration Date | 2008-06-17 |
Last Update Date | 2008-06-17 |