| NPI | 1255977757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMBI BETHEL-LEITSCHUH Director Of Special Education 618-222-3148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |