| NPI | 1386605434 |
|---|---|
| Former Legal Business Name | CENTRAL COMPREHENSIVE MENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | GEORGIANNE BROUGHTON Executive Director 618-533-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2021-12-17 |