| NPI | 1457013765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSPEH HARPER Executive Director 618-482-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2023-07-12 |