Organization
CORYDON RECOVERY LLC
Active
Other names
Hickory Treatment Center at Corydon
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD BROMBERG (COO)
(317) 784-4402
Entity
Organization
Contact information
Practice address
315 COUNTRY CLUB RD, CORYDON, IN 47112-1751
(812) 738-2190
Mailing address
PO BOX 191310, SAINT LOUIS, MO 63119-7310
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
04/16/2021
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