| NPI | 1871095307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA REDDEN Speech Language Pathologist 270-210-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |