| Southeast Missouri Community Treatment Center | |
|
512 E Main St Park Hills MO 63601-2624 | |
| (573) 431-0554 | |
| Not Available |
| Full Name | Southeast Missouri Community Treatment Center |
|---|---|
| Speciality | Counselor |
| Location | 512 E Main St, Park Hills, Missouri |
| Authorized Official Name and Position | Victoria E Hammond (COUNSELOR) |
| 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 Po Box 506 Park Hills MO 63601-0506 Ph: () - | Southeast Missouri Community Treatment Center 512 E Main St Park Hills MO 63601-2624 Ph: (573) 431-0554 |
| NPI Number | 1043409709 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043409709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2002032333 (Missouri) | Primary |
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