| NPI | 1821703174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BUEHLER Owner/CEO 618-727-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2024-07-22 |