NPI | 1225785876 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNIE JOHNSON Director Of Behavioral Health 618-783-4154 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-03-03 |
Last Update Date | 2022-03-03 |