| Organization Name: | SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER, INC. |
| NPI Number: | 1720261639 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRON E. PRATTE (CEO/PRESIDENT) |
| Mailing Address: | 528 E Main St Park Hills |
| State: | MO US |
| Postal Code: | 636012634 |
| Phone Number: | 5734313341 |
| Fax Number: | 5734315205 |
| NPI Enumeration Date: | 12/13/2007 |
| NPI Last Update Date: | 12/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2000154535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |