| NPI | 1447461587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE H. KASTEN Managing Partner 618-351-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: IL 180.006328) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2015-03-03 |