Karla Smith Foundation

NPI #1366923641 in O Fallon, Illinois

Provider Information

NPI Number: 1366923641
Entity Type: Organization
Organization Name: Karla Smith Foundation
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 24, 2018
Last Updated: Aug 24, 2018

Practice Location

Address: 200 N LINCOLN AVE
City: O Fallon
State: Illinois
ZIP Code: 62269-1415
Phone: (618) 624-5771

Authorized Official

Name: MRS. EMILY M SMITH
Title: EXECUTIVE DIRECTOR
Phone: (618) 624-5771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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