NPI | 1972771699 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE DAUM Executive Director 618-533-1391 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2008-02-15 |
Last Update Date | 2008-02-15 |