| NPI | 1720094345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J HARPER Executive Director 618-482-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-07-12 |