Organization · Type 2 NPI

Southeast Missouri Community Treatment Center Inc

Substance Use Disorder Rehabilitation Clinic/Center · Poplar Bluff, MO

NPI number 1407917404 Active

Practice location

101 S Main St
Poplar Bluff, MO 63901-5843

Fax (573) 785-4104

Mailing address

512 E Main St, PO Box 506
Park Hills, MO 63601-2624

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1407917404

Southeast Missouri Community Treatment Center Inc's National Provider Identifier is 1407917404, issued on Dec 13, 2006. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Poplar Bluff, MO. The record was last updated on May 6, 2008.