| NPI | 1841946225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L COX President / CEO 618-688-4727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |