| NPI | 1245418128 |
|---|---|
| Other Name | JASPER FAMILY COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | GLENN JACKSON Executive Director 618-395-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2009-07-23 |