| Southeast Missouri Behavioral Health Inc | |
|
5536 Hwy 32 Farmington MO 63640-7357 | |
| (573) 431-3341 | |
| (573) 431-6580 |
| Full Name | Southeast Missouri Behavioral Health Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5536 Hwy 32, Farmington, Missouri |
| Authorized Official Name and Position | Barron E Pratte (PRESIDENT/CEO) |
| Authorized Official Contact | 5734310554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Missouri Behavioral Health Inc Po Box 506 Park Hills MO 63601-0506 Ph: (573) 431-0554 | Southeast Missouri Behavioral Health Inc 5536 Hwy 32 Farmington MO 63640-7357 Ph: (573) 431-3341 |
| NPI Number | 1982875407 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982875407 | NPI | - | NPPES |
| 503839409 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Southeast Missouri Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Hwy 32, Farmington, MO 63640 Phone: 573-756-5749 Fax: 573-431-5205 | |
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