NPI 1184774275

Gibson Center for Behavioral Change

Organisation Substance Abuse Rehabilitation Facility Cape Girardeau, MO

Practice location

Address: 1112 Linden St, Cape Girardeau, MO 63703-7707
Phone: (573) 332-0416
Fax: (573) 334-0312
Mailing address: PO Box 1267, Cape Girardeau, MO 63702-1267

Authorised official

Name: Ryan Essex
Title: Chief Operating Officer
Phone: (573) 803-4145

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 30567335 (MO)

Other Substance Abuse Rehabilitation Facility providers in Missouri →

Registry record

NPI: 1184774275
Entity type: Organization
NPI issued: 11 Jan 2007
Record last updated: 31 Jan 2024

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.