Organization
SOUTHEAST MISSOURI STATE UNIVERSITY AUTISM CENTER
Active
Organization
SOUTHEAST MISSOURI STATE UNIVERSITY AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA ROGERS-ADKINSON (DEAN)
(573) 651-2408
Entity
Organization
Contact information
Practice address
611 N. FOUNTAIN ST., CAPE GIRARDEAU, MO 63701-7244
(573) 986-4985
(573) 986-4994
Mailing address
1 UNIVERSITY PLAZA, MAIL STOP 9450, CAPE GIRARDEAU, MO 63701-4710
(573) 986-4985
(573) 986-4994
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/16/2010
Last updated
10/02/2014
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