OrganizationActive
Gibson Center for Behavioral Change
NPI 1679928501 · Substance Use Disorder Rehabilitation Clinic/Center · Cape Girardeau, MO
Provider details
- NPI number
- 1679928501
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Ryan Essex, Chief Operating Officer
- License
- 3056-7335 (MO)
Practice location
340 S Broadview St
Cape Girardeau, MO 63703-5703
Phone: (573) 332-0416
Mailing address
Po Box 1267
Cape Girardeau, MO 63702-1267
Registry dates
- Enumerated
- 2016-04-28
- Last updated
- 2024-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.