institution
Southeast Missouri Behavioral Health
Substance Use Disorder Rehabilitation Clinic/Center in Piedmont, Missouri
NPI 1609194448

Southeast Missouri Behavioral Health is a Substance Use Disorder Rehabilitation Clinic/Center based in Park Hills, MO and is specialized in Rehabilitation, Substance Use Disorder. Southeast Missouri Behavioral Health practices in Piedmont, MO. The NPI Number for Southeast Missouri Behavioral Health is 1609194448 and holds a License No. (Missouri).

The current practice location address for Southeast Missouri Behavioral Health is 216 Piedmont Ave Ste 304, Piedmont, MO and can be reached out via phone at 573-223-2734 and via fax at 573-223-2764.

Location: 216 Piedmont Ave Ste 304, Piedmont, MO, 63601-2624
institution
Provider Profile Details
NPI Number
1609194448
Provider Name
Southeast Missouri Behavioral Health
Credential
Provider Entity Type
Organization
Address
216 Piedmont Ave Ste 304, Piedmont, MO, 63601-2624
Phone Number
573-223-2734
Fax Number
573-223-2764
Provider Enumeration Date
05/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ADA-SDA4209122 01 MO PR PLUS CONTRACT PROVIDER WITH DMH
institution
Provider Business Practice Location Address Details
Address
216 Piedmont Ave Ste 304
City
State
Zip
63957-1017
Phone Number
573-223-2734
Fax Number
573-223-2764
person
Provider Business Mailing Address Details
Address
216 Piedmont Ave Ste 304
City
State
Zip
63957-1017
Phone Number
573-223-2734
Fax Number
573-223-2764
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
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Definition
Definition to come...
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