| NPI | 1891524476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN M TAYLOR Revenue Cycle Credential Specialist 618-877-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |