| NPI | 1730842873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI CARTER Public Health Administrator 618-498-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2024-10-16 |