| NPI | 1174800213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S HAMMER President/Owner 618-656-1726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036.063661) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2012-03-11 |