| NPI | 1083065288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELLEN RICHARDS Speech Language Pathologist 270-519-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY KY4405) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-30 |