| NPI | 1902773690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR TARA CARLOTTA CHAMBERS Executive Director 618-923-5576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |