| NPI | 1184111460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BLAIR HENRY Speech Language Pathologist 270-316-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 140350) |
| Enumeration Date | 2018-04-22 |
| Last Update Date | 2018-04-22 |