Organization · Type 2 NPI
Southeast Missouri Behavioral Health
Substance Use Disorder Rehabilitation Clinic/Center · Ironton, MO
NPI number
1831417682
Active
Practice location
143 S Main St
Ironton, MO 63650-1305
Fax (573) 546-4014
Mailing address
512 E Main St, PO Box 506
Park Hills, MO 63601-2624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1831417682
Southeast Missouri Behavioral Health's National Provider Identifier is 1831417682, issued on May 4, 2010. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Ironton, MO. The record was last updated on May 4, 2010.