NPI | 1255862611 |
---|---|
Former Legal Business Name | UNITED METHODIST CHILDREN'S HOME OF SOUTHERN ILLINOIS INC. |
Entity Type | Organization |
Authorized Contact | JOE BERNARD Interim CEO / CFO 618-242-1070 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X (Licence: IL 021068-11) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2021-11-10 |