| NPI | 1144475948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SOPRONYI-TOMPKINS Executive Director 618-462-4883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |