OrganizationActive
Gibson Center for Behavioral Change
NPI 1184774275 · Substance Abuse Rehabilitation Facility · Cape Girardeau, MO
Provider details
- NPI number
- 1184774275
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ryan Essex, Chief Operating Officer(573) 803-4145
- License
- 30567335 (MO)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1112 Linden St
Cape Girardeau, MO 63703-7707
Phone: (573) 332-0416
Fax: (573) 334-0312
Street-level locationGet directions
Mailing address
Po Box 1267
Cape Girardeau, MO 63702-1267
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2024-01-31
- Certified
- 2024-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.