BHGXXIX LLC NPI 1508277229

NPI Information

BHGXXIX, LLC is a rehabilitation and substance use disorder clinic center in Poplar Bluff, MO. BHGXXIX, LLC NPI is 1508277229. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Poplar Bluff Treatment Center.

The provider's business location address is:

1369 N WESTWOOD BLVD
POPLAR BLUFF, MO
ZIP 63901-313
Phone: (573) 772-7937
Fax: (573) 778-1315

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 26D2078309 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2014 and was last updated on 12/17/2019.

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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