| NPI | 1053437038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SNODSMITH Regional VP Finance, CFO 618-899-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-08-20 |