Organization · Type 2 NPI

Corydon Recovery LLC

Substance Abuse Rehabilitation Facility · Corydon, IN

NPI number 1396387478 Active

Practice location

315 Country Club Rd
Corydon, IN 47112-1751

Call (812) 738-2190 Map

Mailing address

PO Box 191310
St. Louis, MO 63119-7310

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

7 other providers at this address

NPI record

NPI: 1396387478
Entity type: Organization (Type 2)
Issued: Oct 10, 2019
Last updated: Apr 16, 2021
Status: Active

Other names

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Hickory Treatment Center at Corydon · doing business as
Hickory Treatment Center at Corydon · doing business as

Authorized official

Howard Bromberg
COO
(317) 784-4402

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396387478

Corydon Recovery LLC's National Provider Identifier is 1396387478, issued on Oct 10, 2019. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Corydon, IN. The record was last updated on Apr 16, 2021.