| NPI | 1851728570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE RILEY President/CEO 618-939-4444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2024-06-05 |