| NPI | 1417127580 |
|---|---|
| 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 | 2008-03-05 |
| Last Update Date | 2015-08-11 |