| NPI | 1316251788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B DAVIS VP Medical Staff Services 618-257-6302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |