Gibson Center For Behavioral Change

LBN: Gibson Center For Behavioral Change
Gibson Center For Behavioral Change is an health care organization with primary practice located at 340 S Broadview St , Cape Girardeau MO 63703-5703. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Gibson Center For Behavioral Change can be contacted via phone (573) 332-0416, or through Essex, Ryan via phone (573) 803-4145.

Contact Information

Primary practice address
340 S Broadview St Cape Girardeau MO 63703-5703
Phone: (573) 332-0416
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Essex, Ryan
Phone: (573) 803-4145

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 3056-7335 Missouri

Profile Details

NPI number 1679928501
LBN Legal business name Gibson Center For Behavioral Change
DBA Doing business as
Authorized official Essex, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2016
Last updated Jan 24th, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679928501 NPPES
Missouri MEDICAID 1184774275

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