Organization · NPI-2
Bhg Xxxix, LLC
Clinic/Center, Rehabilitation, Substance Use Disorder · Aiken, SC
NPI number1831545201
StatusActive
Last updated in NPPESDec 27, 2024
Details
- NPI
- 1831545201
- Entity type
- Organization (NPI-2)
- Legal business name
- Bhg Xxxix, LLC
- Organization subpart
- No
- Enumeration date
- May 4, 2016
- Certification date
- Dec 27, 2024
- Last updated
- Dec 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | OTPN-0170 | SC | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | OTPN-0170 | SC | |
| 261QM2800X | Clinic/Center, Methadone Clinic | OTPN-0170 | SC |
Practice location
410 University PkwySuite 1560
Aiken, SC 29801-6810
Phone 803-641-6911 · Fax 803-641-6595
Mailing address
5001 Spring Valley RdSuite 600 East
Dallas, TX 75244-3946
Phone 214-365-6100 · Fax 214-365-6150
Authorized official
Jay Higham
Ceo
2143656112
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