| NPI | 1366018756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L COX President / CEO 618-688-4727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |