| NPI | 1518237080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S HILL Director Of Finance 618-397-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2017-06-29 |