NPI: 1467071928
Provider Name: BHG LXIX, LLC
Doing Business As: BHG HUNTSVILLE TREATMENT CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 01D2158406
Address:
4040 INDEPENDENCE DR NW
HUNTSVILLE, AL
ZIP 35816
Phone: (256) 721-1940
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BHG LXIX, LLC is a rehabilitation and substance use disorder clinic center in Huntsville, AL. BHG LXIX, LLC NPI is 1467071928. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Huntsville Treatment Center.
The provider's business location address is:
4040 INDEPENDENCE DR NW
HUNTSVILLE, AL
ZIP 35816-012
Phone: (256) 721-1940
Fax: (256) 721-1934
The provider's authorized official is Jemece 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 01D2158406 - other - outpatient opioid treatme with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/14/2020 and was last updated on 9/24/2020.