| NPI | 1114301181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN G BOOTON Speech Language Pathologist 502-693-0329 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children (Licence: ID SLP-2765) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2015-07-19 |