| NPI | 1326233115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY JOHNSON WARREN Speech Language Pathologist 270-792-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: KY 3128) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |