| NPI | 1548959786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MORGAN CEO 618-751-1763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-08 |