NPI | 1316282007 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY DENISE PHILLIPS Biling Department Manager 618-937-6483 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-12-06 |
Last Update Date | 2021-04-23 |