| NPI | 1841645801 |
|---|---|
| Former Legal Business Name | SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | BARRON E PRATTE President 573-756-5749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MO 1465) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |