| NPI | 1306780440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH L HARBISON Managing Member 618-318-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-05-18 |