| NPI | 1326494261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE MURPHY Administrative Assistant 618-439-7231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |