NPI | 1265932123 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER C VICE Co Owner 606-465-9754 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
Enumeration Date | 2018-02-17 |
Last Update Date | 2018-03-29 |