| NPI | 1306394234 |
|---|---|
| Other Name | COMMUNITY MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | DREATHA JEAN JACKSON CEO 618-623-9771 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2023-07-07 |