| NPI | 1376041087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MACGREGOR KNIGHT President 618-698-6299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 1999140253) |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2018-01-28 |