| NPI | 1134358922 |
|---|---|
| Other Name | IVY CENTER |
| Entity Type | Organization |
| Authorized Contact | AMY MARLEY Administrator 618-943-3302 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IL 036-105698) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2022-10-17 |