| NPI | 1972229425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER REDDICK Owner/Speech Language Pathologist 270-570-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2023-01-05 |