NPI | 1902621949 |
---|---|
Doing Business As | HICKORY TREATMENT CENTER AT LONGVIEW |
Entity Type | Organization |
Authorized Contact | MOSHE ORLINSKY CEO 314-971-1631 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2024-11-15 |
Last Update Date | 2025-02-27 |