| NPI | 1992345169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J SMALLWOOD Early Intervention Provider 270-668-4237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |