institution
Southeast Missouri State University Autism Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cape Girardeau, Missouri
NPI 1699020503

Southeast Missouri State University Autism Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cape Girardeau, MO. Southeast Missouri State University Autism Center practices in Cape Girardeau, MO. The NPI Number for Southeast Missouri State University Autism Center is 1699020503 and holds a License No. (Missouri).

The current practice location address for Southeast Missouri State University Autism Center is 611 N Fountain St, Cape Girardeau, MO and can be reached out via phone at 573-986-4985 and via fax at 573-986-4994. You can also correspond with Southeast Missouri State University Autism Center through the mailing address at 1 UNIVERSITY PLZ, CAPE GIRARDEAU, MO - 63701-4710 (mailing address contact number: 573-986-4985).

Location: 611 N Fountain St, Cape Girardeau, MO, 63701-4710
institution
Provider Profile Details
NPI Number
1699020503
Provider Name
Southeast Missouri State University Autism Center
Credential
Provider Entity Type
Organization
Address
611 N Fountain St, Cape Girardeau, MO, 63701-4710
Phone Number
573-986-4985
Fax Number
573-986-4994
Provider Enumeration Date
07/17/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1316261621 05 MO
institution
Provider Business Practice Location Address Details
Address
611 N Fountain St
City
State
Zip
63701-7244
Phone Number
573-986-4985
Fax Number
573-986-4994
person
Provider Business Mailing Address Details
Address
611 N Fountain St
City
State
Zip
63701-7244
Phone Number
573-986-4985
Fax Number
573-986-4994
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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