Gibson Center for Behavioral Change
NPI #1164719373 in Cape Girardeau, Missouri
Provider Information
- NPI Number
- 1164719373
- Entity Type
- Organization
- Organization Name
- Gibson Center for Behavioral Change
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GIBSON RECOVERY CENTER, INC.
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 8, 2011
- Last Updated
- Jan 31, 2024
Practice Location
- Address
- 340 S BROADVIEW ST
- City
- Cape Girardeau
- State
- Missouri
- ZIP Code
- 63703-5703
- Phone
- (573) 332-0416
Authorized Official
- Name
- RYAN ESSEX
- Title
- CHIEF OPERATING OFFICER
- Phone
- (573) 803-4145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Clinical Nurse Specialist - Psychiatric/Mental Health, Adult — Psychiatric/Mental Health, Adult |
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