| NPI | 1649558792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN SENDER C.O.O. 618-877-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 04023) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IL 04023) |
| 251S00000X (Licence: IL 04023) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |