| NPI | 1558456210 |
|---|---|
| Former Legal Business Name | MACOUPIN COUNTY MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS KILBERG Executive Director 217-854-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |