| NPI | 1982824041 |
|---|---|
| Other Name | WIC |
| Entity Type | Organization |
| Authorized Contact | TINA LYDEN Director Of Patient Accounts 618-943-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2023-02-02 |