NPI | 1396387478 |
---|---|
Doing Business As | HICKORY TREATMENT CENTER AT CORYDON |
Entity Type | Organization |
Authorized Contact | HOWARD BROMBERG COO 317-784-4402 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-10-10 |
Last Update Date | 2021-04-16 |