Organization
SOUTHEAST MISSOURI BEHAVIORAL HEALTH INC
Active
Other names
Southeast Missouri Community Treatment Center
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
5536 HWY 32, FARMINGTON, MO 63640-7357
(573) 431-3341
(573) 431-6580
Mailing address
PO BOX 506, PARK HILLS, MO 63601-0506
(573) 431-0554
(573) 431-5205
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503839409
—
MO
Enumeration date
03/13/2008
Last updated
03/24/2015
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