Southeast Missouri Community Treatment Center Inc in Poplar Bluff - Rehabilitation, Substance Use Disorder
Southeast Missouri Community Treatment Center Inc - NPI 1407917404
Southeast Missouri Community Treatment Center Inc is a Rehabilitation, Substance Use Disorder in Poplar Bluff, Missouri. Southeast Missouri Community Treatment Center Inc practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Southeast Missouri Community Treatment Center Inc is 1407917404. The last update date is 2008-05-06.
Southeast Missouri Community Treatment Center Inc's current location address is 101 S Main St, Poplar Bluff, Missouri. You can contact this provider via phone number 5736865090 and fax number 5737854104. The mailing address for Southeast Missouri Community Treatment Center Inc is 101 S Main St, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Missouri Community Treatment Center Inc |
|---|---|
| Address | 101 S Main St, Poplar Bluff, Missouri |
| Phone Number | 5736865090 |
| Fax Number | 5737854104 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pratte E Barron |
| Credentials | PH.D. |
| Telephone Number | 5734310554 |
NPI Number Detail
| NPI Number | 1407917404 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2008-05-06 |
Provider Mailing Address Detail
| Address | 101 S Main St |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639015843 |
| Phone Number | 5736865090 |
| Fax Number | 5737854104 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
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Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 866204605 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southeast Missouri Community Treatment Center Inc by the Centers for Medicare & Medicaid Services?
The Southeast Missouri Community Treatment Center Inc has been issued the NPI (National Provider Identifier) 1407917404. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Southeast Missouri Community Treatment Center Inc is geographically located?
The Southeast Missouri Community Treatment Center Inc is physically situated at the following location: 101 S Main St, Poplar Bluff, MO, 639015843.
What is Southeast Missouri Community Treatment Center Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southeast Missouri Community Treatment Center Inc's specialized field of practice is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr0405X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407917404 to Southeast Missouri Community Treatment Center Inc?
The Centers for Medicare & Medicaid Services originally issued the 1407917404 to Southeast Missouri Community Treatment Center Inc on 2006-12-13.
As of what date were the details related to Southeast Missouri Community Treatment Center Inc most recently updated or revised?
The information pertaining to Southeast Missouri Community Treatment Center Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-06.