| NPI | 1598117608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA K STATON Speech Language Pathologist 606-282-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SC 6023) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |