| NPI | 1962218305 |
|---|---|
| Doing Business As | HICKORY GROVE BEHAVIORAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | ROBERT DALE OWENS Owner 574-265-4428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |