SOUTHEAST MISSOURI BEHAVIORAL HEALTH
NPI 1841645801
Clinic/Center - Rehabilitation, Substance Use Disorder in Farmington, MO
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About SOUTHEAST MISSOURI BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Southeast Missouri Behavioral Health, a provider established in Farmington, Missouri operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1841645801 assigned on April 2016. The practitioner's primary taxonomy code is 261QR0405X with license number 1465 (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's former legal business name is Southeast Missouri Community Treatment Center. The authorized official of this NPI record is Dr. Barron E Pratte Ph.d. (President)
- NPI
- 1841645801 Verify this NPI
- Provider Legal Name
- SOUTHEAST MISSOURI BEHAVIORAL HEALTH
- Other Organization Name
- SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 5536 HWY 32 FARMINGTON, MO 63640
- Location Phone
- (573) 756-5749
- Location Fax
- (573) 431-5205
- Mailing Address
- 5536 HWY 32 FARMINGTON, MO 63640
- Mailing Phone
- (573) 756-5749
- Mailing Fax
- (573) 431-5205
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2016
- Last Update Date
- 04-27-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1465
- License State
- MO
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
FARMINGTON, MO 63640
FARMINGTON, MO 63640
FARMINGTON, MO 63640
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841645801, enumerated as an "organization" on April 27, 2016.
The provider is located at 5536 HWY 32 FARMINGTON, MO 63640 and the phone number is (573) 756-5749.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
