| NPI | 1508153768 |
|---|---|
| Other Name | MANION BLDG |
| Other Name | MANION BUILDING |
| Entity Type | Organization |
| Authorized Contact | DANUTA DEL RIO Executive Director 618-833-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2020-02-25 |