NPI | 1508525742 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN DAVID CHURCH Vice President Of Fianance 618-972-5228 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
Enumeration Date | 2021-12-15 |
Last Update Date | 2023-12-16 |