Organization
SOUTHEAST MISSOURI STATE UNIVERSITY
Active
Organization
SOUTHEAST MISSOURI STATE UNIVERSITY
Active
Other names
Horizons Enrichment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY LYNNE OWENS BSPA (DIRECTOR)
(573) 290-5115
Entity
Organization
Contact information
Practice address
2100 THEMIS ST STE 103C, CAPE GIRARDEAU, MO 63701-5124
(573) 290-5115
(573) 290-5142
Mailing address
2100 THEMIS ST STE 103C, CAPE GIRARDEAU, MO 63701-5124
(573) 290-5115
(573) 290-5142
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780753640
—
MO
Enumeration date
08/05/2011
Last updated
02/15/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up