| NPI | 1285185173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CARNEY CEO 618-956-9521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical | |
| 207Q00000X Family Medicine (Licence: IL H80CS00667) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL H80CS00667) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2024-08-05 |