Organization · Type 2 NPI

Southeast Missouri State University Autism Center

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cape Girardeau, MO

NPI number 1699020503 Active

Practice location

611 N Fountain St
Cape Girardeau, MO 63701-7244

Call (573) 986-4985 Map

Fax (573) 986-4994

Mailing address

1 University Plz, Mailstop 9450
Cape Girardeau, MO 63701-4710

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1699020503

Southeast Missouri State University Autism Center's National Provider Identifier is 1699020503, issued on Jul 17, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Cape Girardeau, MO. The record was last updated on Jul 17, 2012.