Organization
CAPE GIRARDEAU BEHAVIORAL HEALTH LLC
Active
Other names
Southeast Behavioral Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (VICE PRESIDENT)
(610) 768-3300
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
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/26/2020
Last updated
06/08/2023
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