| NPI | 1003458191 |
|---|---|
| Doing Business As | HICKORY TREATMENT CENTER AT ROCKVILLE |
| Entity Type | Organization |
| Authorized Contact | HOWARD BROMBERG COO 314-258-1037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2021-04-16 |