| NPI | 1750798054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SOPRONYI-TOMPKINS Chief Executive Officer 618-208-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |