| NPI | 1003192691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARY ARNOLD President 618-213-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 041192768) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |