| NPI | 1194902668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HUDDLE Slp Owner 606-922-2572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY A2332) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: KY PTAA01657) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |