| NPI | 1902539232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH MACKIE Co Owner 785-760-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-06 |