Gibson Center for Behavioral Change
NPI #1184774275 in Cape Girardeau, Missouri
Provider Information
- NPI Number
- 1184774275
- Entity Type
- Organization
- Organization Name
- Gibson Center for Behavioral Change
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Jan 31, 2024
Practice Location
- Address
- 1112 LINDEN ST
- City
- Cape Girardeau
- State
- Missouri
- ZIP Code
- 63703-7707
- Phone
- (573) 332-0416
Authorized Official
- Name
- RYAN ESSEX
- Title
- CHIEF OPERATING OFFICER
- Phone
- (573) 803-4145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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