| NPI | 1124153879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA STUBBLEFIELD Epilepsy Services Coordinator 618-244-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |