| NPI | 1700318656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH S ROARK Slp/Owner 606-545-2631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-05-17 |