| NPI | 1982875407 |
|---|---|
| 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 | 251S00000X |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2015-03-24 |