| NPI | 1245724657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MOREHEAD Speech Language Pathologist 304-663-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |