Southeast Missouri Behavioral Health
NPI #1134492390 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1134492390
- Entity Type
- Organization
- Organization Name
- Southeast Missouri Behavioral Health
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 20, 2012
- Last Updated
- Feb 20, 2012
Practice Location
- Address
- 101 S MAIN ST
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-5843
- Phone
- (573) 686-5090
Authorized Official
- Name
- DR. BARRON E PRATTE, PH.D.
- Title
- PRESIDENT/CEO
- Phone
- (573) 431-0554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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