| NPI | 1275375891 |
|---|---|
| Doing Business As | HICKORY BEHAVIORAL CENTER AT KINGMAN |
| Entity Type | Organization |
| Authorized Contact | SHANNON D HOWARD Chief Reimbursement Officer 314-971-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-07-11 |