| NPI | 1700440971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MANION Owner 502-445-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2021-12-22 |