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Gibson Center For Behavioral Change
Substance Abuse Rehabilitation Facility in Cape Girardeau, Missouri
NPI 1184774275

Gibson Center For Behavioral Change is a Substance Abuse Rehabilitation Facility based in Cape Girardeau, MO. Gibson Center For Behavioral Change practices in Cape Girardeau, MO. The NPI Number for Gibson Center For Behavioral Change is 1184774275 and holds a License No. 30567335 (Missouri).

The current practice location address for Gibson Center For Behavioral Change is 1112 Linden St, Cape Girardeau, MO and can be reached out via phone at 573-332-0416 and via fax at 573-334-0312.

Location: 1112 Linden St, Cape Girardeau, MO, 63702-1267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184774275
Provider Name
Gibson Center For Behavioral Change
Credential
Provider Entity Type
Organization
Address
1112 Linden St, Cape Girardeau, MO, 63702-1267
Phone Number
573-332-0416
Fax Number
573-334-0312
Provider Enumeration Date
01/11/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
863112702 05 MO
105152 01 MO BLUE CROSSBLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1112 Linden St
City
Cape Girardeau
State
Missouri
Zip
63703-7707
Phone Number
573-332-0416
Fax Number
573-334-0312
person
Provider Business Mailing Address Details
Address
1112 Linden St
City
Cape Girardeau
State
Missouri
Zip
63703-7707
Phone Number
573-332-0416
Fax Number
573-334-0312
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
30567335 (Missouri)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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