NPI | 1184949372 |
---|---|
Former Legal Business Name | SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | BARRON E PRATTE President CEO 573-431-0554 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2010-03-31 |
Last Update Date | 2010-05-04 |