Vcphcs Xii, LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Colorado Springs, CO. Organization (NPI-2).
NPI number1407575111
StatusActive
Last updated in NPPESDec 26, 2024
Details
- NPI
- 1407575111
- Entity type
- Organization (NPI-2)
- Legal business name
- Vcphcs Xii, LLC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2022
- Certification date
- Dec 26, 2024
- Last updated
- Dec 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – |
Other names
- Bhg Colorado Springs Treatment Center (Doing Business As)
Practice location
4157 Centennial BlvdColorado Springs, CO 80907-3767
Phone 719-598-9750
Mailing address
5001 Spring Valley RoadSuite 600 East
Dallas, TX 75244
Phone 512-966-1235
Authorized official
Jay Higham
Ceo
2143656112
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