NPI | 1881145357 |
---|---|
Doing Business As | LIFELINKS MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | LARRY MCCULLEY CEO 618-332-0694 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IL H80CS00195) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
101YP2500X Counselor, Professional | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2016-10-20 |
Last Update Date | 2016-10-20 |