| NPI | 1730811282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HUELSMAN CEO 618-213-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |