| Southeast Missouri Community Treatment Center, Inc. | |
|
528 E Main St Park Hills MO 63601-2634 | |
| (573) 431-3341 | |
| (573) 431-5205 |
| Full Name | Southeast Missouri Community Treatment Center, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 528 E Main St, Park Hills, Missouri |
| Authorized Official Name and Position | Barron E. Pratte (CEO/PRESIDENT) |
| Authorized Official Contact | 5734310554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Missouri Community Treatment Center, Inc. Po Box 506 512 E. Main St. Park Hills MO 63601-0506 Ph: (573) 431-0554 | Southeast Missouri Community Treatment Center, Inc. 528 E Main St Park Hills MO 63601-2634 Ph: (573) 431-3341 |
| NPI Number | 1720261639 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720261639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2000154535 (Missouri) | Primary |
Southeast Missouri Community Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 E Main St, Park Hills, MO 63601 Phone: 573-431-0554 | |
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