NPI | 1366116956 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DAVID CHURCH Vice President Of Finance 618-972-5228 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2021-08-06 |
Last Update Date | 2024-09-06 |