| NPI | 1952181901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIONNE RHODES Director Of Programs 618-345-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |