NPI 1134492390
Southeast Missouri Behavioral Health
Practice location
- Address
- 101 S Main St, Poplar Bluff, MO 63901-5843
- Phone
- (573) 686-5090
Authorised official
- Name
- Barron E Pratte
- Title
- President/Ceo
- Phone
- (573) 431-0554
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1134492390
- Entity type
- Organization
- NPI issued
- 20 Feb 2012
- Record last updated
- 20 Feb 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.