GIBSON RECOVERY CENTER, INC.
Physician Assistant at Broadview St, Cape Girardeau, MO

License number
Missouri 2009023490
Category
Mental Health
Type
Mental Health
License number
Missouri 002005
Category
Mental Health
Type
Mental Health
License number
Missouri 001113
Category
Mental Health
Type
Mental Health
License number
Missouri 2004002713
Category
Mental Health
Type
Mental Health
License number
Missouri 2001007821
Category
Mental Health
Type
Mental Health
License number
Missouri 2002031993
Category
Social Work
Type
Clinical
License number
Missouri MO2005003649
Category
Psychiatric
Type
Psychiatry
License number
Missouri 096892
Category
Physician Assistant
Type
Psychiatric/Mental Health, Adult
Owner
Name: MR. JOHN GARY
Title: EXECUTIVE DIRECTOR
Phone: (573) 332-0416
Address
Address
340 S Broadview St, Cape Girardeau, MO 63703
National Provider ID: 1164719373
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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