| NPI | 1295903912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIANNE BROUGHTON Executive Director 618-533-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2021-12-17 |