NPI:
1184949372
Provider Name:
SOUTHEAST MISSOURI BEHAVIORAL HEALTH
Former Legal Business Name: SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1014 W HIGHWAY 28 STE E
OWENSVILLE, MO
ZIP 65066
Phone:
(573) 437-7347
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SOUTHEAST MISSOURI BEHAVIORAL HEALTH is a rehabilitation and substance use disorder clinic center in Owensville, MO. SOUTHEAST MISSOURI BEHAVIORAL HEALTH NPI is 1184949372. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Southeast Missouri Community Treatment Center.
The provider's business location address is:
1014 W HIGHWAY 28 STE E
OWENSVILLE, MO
ZIP 65066-679
Phone: (573) 437-7347
The provider's authorized official is Barron E Pratte .
The authorized official title is President Ceo and has the following contact phone number (573) 431-0554.
The enumeration date for this NPI number is 3/31/2010 and was last updated on 5/4/2010.