Organization · Type 2 NPI
Gibson Center for Behavioral Change
Substance Use Disorder Rehabilitation Clinic/Center · Cape Girardeau, MO
NPI number
1679928501
Active
Practice location
340 S Broadview St
Cape Girardeau, MO 63703-5703
Mailing address
PO Box 1267
Cape Girardeau, MO 63702-1267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 3056-7335 (MO) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
7 other providers at this address
- Gibson Center for Behavioral ChangeMental Health Counselor Cape Girardeau, MO NPI 1164719373
- Brenda Gause, RNRegistered Nurse Cape Girardeau, MO NPI 1386152973
- Jody Petzoldt, M.A.Professional Counselor Cape Girardeau, MO NPI 1689941528
- John Eugene NimmoMental Health Counselor Cape Girardeau, MO NPI 1316232069
- Mary Ann Roberston, M.A.Professional Counselor Cape Girardeau, MO NPI 1093097917
- Mechelle Abernathy, LPNLicensed Practical Nurse Cape Girardeau, MO NPI 1750886909
- Tina Fuller, LPNLicensed Practical Nurse Cape Girardeau, MO NPI 1659879096
About NPI 1679928501
Gibson Center for Behavioral Change's National Provider Identifier is 1679928501, issued on Apr 28, 2016. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Cape Girardeau, MO. The record was last updated on Jan 24, 2024.