| NPI | 1427111046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD GOACHER President 618-332-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 0004523) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2025-10-14 |