| NPI | 1851007116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA AUSTIN SHAMBURGER Owner 804-310-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-04-11 |