| NPI | 1376990911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PRYOR Speech Language Pathologist 270-350-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 3729) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |