| NPI | 1366602948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE MITCHELL Speech Pathologist/Manager 304-634-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 2492) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |