| NPI | 1215225172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCILLE DIAMOND Operations Manager 606-324-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: KY 100476) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |