NPI: 1922584366
Provider Name: BHG XLII, LLC
Doing Business As: BHG CHESAPEAKE SOUTH TREATMENT CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 49D2152702
Address:
109 WIMBLEDON SQ STE H
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 410-8244
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BHG XLII, LLC is a rehabilitation and substance use disorder clinic center in Chesapeake, VA. BHG XLII, LLC NPI is 1922584366. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Chesapeake South Treatment Center.
The provider's business location address is:
109 WIMBLEDON SQ STE H
CHESAPEAKE, VA
ZIP 23320-945
Phone: (757) 410-8244
The provider's authorized official is Jemece Michelle Gasaway .
The authorized official title is Director Of Licensing and has the following contact phone number (214) 365-6126.
The CLIA number assigned to this NPI record is 49D2152702 - other - outpt opioid treatment with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/18/2018 and was last updated on 2/22/2019.