Organization
KARLA SMITH FOUNDATION
Active
Other names
Karla Smith Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY M SMITH (EXECUTIVE DIRECTOR)
(618) 624-5771
Entity
Organization
Contact information
Practice address
200 N LINCOLN AVE, O FALLON, IL 62269-1415
(618) 624-5771
(618) 206-6508
Mailing address
200 N LINCOLN AVE, O FALLON, IL 62269-1415
(618) 624-5771
(618) 206-6508
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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