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SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER INC. NPI 1720261639


NPI Information

NPI: 1720261639
Provider Name: SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
528 E MAIN ST
PARK HILLS, MO
ZIP 63601
Phone: (573) 431-3341
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SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER, INC. is a professional counselor in Park Hills, MO. SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER, INC. NPI is 1720261639. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

528 E MAIN ST
PARK HILLS, MO
ZIP 63601-634
Phone: (573) 431-3341
Fax: (573) 431-5205

The provider's authorized official is Barron E. Pratte .
The authorized official title is Ceo/president and has the following contact phone number (573) 431-0554.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 12/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional2000154535MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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