| NPI | 1912173543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DIANE VANCIL President 256-783-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: 1-06-2786) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 1124) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2008-05-04 |