NPI | 1952023293 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID CHURCH Vice President Of Finance 618-972-5228 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2022-09-14 |
Last Update Date | 2024-10-02 |