| NPI | 1740962844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHLOE C BOHLEN Speech Pathologist 859-912-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-05-08 |