Organization
VCPHCS X, LLC
Active
Other names
BHG Longmont Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEMECE MICHELLE GASAWAY (DIRECTOR OF LICENSING)
(214) 365-6126
Entity
Organization
Contact information
Practice address
850 23RD AVE, UNIT A, LONGMONT, CO 80501
(303) 245-0123
(303) 245-0119
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1597-01
CO
261QM2800X
Methadone Clinic
1597-01
CO
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1597-01
CO
Other
Enumeration date
06/17/2008
Last updated
12/18/2024
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