| NPI | 1649445750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SHELTON Supervisory Social Worker 618-997-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2865M2000X Military Hospital, Military General Acute Care Hospital (Licence: IL 149.010333) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |