Organization
KINGMAN BEHAVIORAL HEALTH LLC
Active
Other names
Hickory Behavioral Center at Kingman
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON D HOWARD (CHIEF REIMBURSEMENT OFFICER)
(314) 971-1631
Entity
Organization
Contact information
Practice address
1031 DETROIT AVE, KINGMAN, AZ 86401-6811
(314) 971-1631
Mailing address
3960 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46203-1500
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
07/11/2024
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