Organization
SOUTHEAST MISSOURI BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRON E PRATTE PH.D. (PRESIDENT/CEO)
(573) 431-0554
Entity
Organization
Contact information
Practice address
101 S MAIN ST, POPLAR BLUFF, MO 63901-5843
(573) 686-5090
Mailing address
101 S MAIN ST, POPLAR BLUFF, MO 63901-5843
(573) 686-5090
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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