Organization
EARLY DEVELOPMENTAL INTERVENTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE IRENE FIELDS (OWNER)
(606) 233-1544
Entity
Organization
Contact information
Practice address
126 BLACK HAWK RD, HAPPY, KY 41746-9053
(606) 233-1544
Mailing address
126 BLACK HAWK RD, HAPPY, KY 41746-9053
(606) 233-1544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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