| NPI | 1831828813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARREATTA BLACKMON Chief Executive Officer 502-235-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |