| NPI | 1942479597 |
|---|---|
| Other Name | LAWRENCE FAMILY COUNSELING CTR |
| Entity Type | Organization |
| Authorized Contact | GLENN JACKSON Executive Director 618-395-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2016-05-05 |