| NPI | 1255115465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HARPER Executive Director 618-482-7330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |