NPI | 1396081840 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL LYNN COMPTON Executive Director 618-397-0968 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2013-01-02 |
Last Update Date | 2013-01-02 |