| NPI | 1366156150 |
|---|---|
| Doing Business As | MOBILE UNIT 1 |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CARNEY CEO 618-956-9521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 1223G0001X Dentist, General Practice | |
| 124Q00000X Dental Hygienist | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-07-29 |