| NPI | 1134199037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BAUER It Coordinator 618-282-6233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2021-02-03 |