| NPI | 1043082100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKENZIE GRACE HOLBROOK Speech Language Pathologist 859-779-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-25 |