| NPI | 1063709228 |
|---|---|
| Other Name | CSR COTTAGE |
| Other Name | CSR-COTTAGE |
| Entity Type | Organization |
| Authorized Contact | DANUTA DEL RIO Executive Director 618-833-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2020-02-25 |