NPI:
1568808640
Provider Name:
BHG XXIV, LLC
Doing Business As: BHG PAINTSVILLE TREATMENT CENTER
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 18D2057373
Address:
628 JEFFERSON AVENUE
PAINTSVILLE, KY
ZIP 41240
Phone:
(606) 789-6966
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BHG XXIV, LLC is a rehabilitation and substance use disorder clinic center in Paintsville, KY. BHG XXIV, LLC NPI is 1568808640. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Paintsville Treatment Center.
The provider's business location address is:
628 JEFFERSON AVENUE
PAINTSVILLE, KY
ZIP 41240
Phone: (606) 789-6966
Fax: (606) 789-7466
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 18D2057373 - other - substance abuse treatment with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/16/2013 and was last updated on 4/24/2020.