| NPI | 1720438583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SPALDING HAGAN Speech Language Pathologist 502-507-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |