| NPI | 1134668957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALITA NADINE STOREY Speech Pathologist 812-306-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 171683) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |