Organization
CAPE GIRARDEAU BEHAVIORAL HEALTH LLC
Active
Parent organization
CAPE GIRARDEAU BEHAVIORAL HEALTH LLC
Other names
SOUTHEAST BEHAVIORAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPE GIRARDEAU BEHAVIORAL HEALTH LLC
Authorized official
STEVE FILTON (VICE PRESIDENT)
(610) 768-3482
Entity
Organization
Contact information
Practice address
639 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7539
(573) 708-5000
Mailing address
639 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7539
(573) 708-5000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/31/2023
Last updated
11/09/2023
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