NPI | 1477003283 |
---|---|
Doing Business As | LAWRENCE COUNTY BEHAVIOR HEALTH |
Entity Type | Organization |
Authorized Contact | AMY MARLEY Adminstrator 618-943-3302 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: IL A12350002A) |
Enumeration Date | 2016-10-05 |
Last Update Date | 2023-02-08 |