NPI:
1932696770
Provider Name:
BHG XLII, LLC
Doing Business As: BHG GLEN ALLEN TREATMENT CENTER
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 49D2152693
Address:
13100 MOUNTAIN RD
GLEN ALLEN, VA
ZIP 23059
Phone:
(214) 365-6100
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BHG XLII, LLC is a rehabilitation and substance use disorder clinic center in Glen Allen, VA. BHG XLII, LLC NPI is 1932696770. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Glen Allen Treatment Center.
The provider's business location address is:
13100 MOUNTAIN RD
GLEN ALLEN, VA
ZIP 23059-734
Phone: (214) 365-6100
Fax: (214) 365-6150
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 49D2152693 - other - outpt opioid treatment with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/17/2018 and was last updated on 2/22/2019.