NPI | 1891578175 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH HARPER Executive Director 618-482-7330 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2023-08-18 |
Last Update Date | 2023-08-18 |