NPI | 1699173542 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELYN HALL-DAVIS President 618-622-9240 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 036080270) |
Enumeration Date | 2014-12-09 |
Last Update Date | 2014-12-09 |