| NPI | 1902503386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA LYNN CONWAY BINGHAM Speech Language Pathologist 502-216-4793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-22 |