| NPI | 1104049766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER HILLIARD COO Rdinator 618-993-3817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |