| NPI | 1881201333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH MARIE NICHOLSON-LILLY Speech Pathologist 304-667-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |