| NPI | 1205283512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANI MICHELLE FLINDERS Speech Language Pathologist 606-782-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 2437) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2020-04-24 |