| NPI | 1750532719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L CHASTAIN Owner/Founder/Sole Member 812-275-4479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-12-09 |