BHG LVII LLC NPI 1306479670

NPI Information

BHG LVII, LLC is a rehabilitation and substance use disorder clinic center in Pawtucket, RI. BHG LVII, LLC NPI is 1306479670. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Pawtucket Treatment Center.

The provider's business location address is:

82 POND ST
PAWTUCKET, RI
ZIP 02860-462
Phone: (401) 727-1287

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) 365-6100.

The CLIA number assigned to this NPI record is 41D2188247 - other - opioid treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2020 and was last updated on 4/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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