Organization
BHG XLII, LLC
Active
Organization
BHG XLII, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
5715 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-3222
(757) 962-0748
Mailing address
5001 SPRING VALLEY RD, SUITE 600 EAST, DALLAS, TX 75244-3946
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2967
VA
261QM2800X
Methadone Clinic
2967
VA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2967
VA
Other
Enumeration date
08/26/2016
Last updated
12/18/2024
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