| NPI | 1255650404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY PHILLIPS Director Of Revenue Cycles 618-937-6483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2025-07-14 |