| NPI | 1306729025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA HOSKIN President 618-434-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-08-13 |