| NPI | 1215174982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBER L BROWNE Director Of Finance 618-282-6233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2021-02-04 |