Organization
BHG LVII, LLC
Active
Other names
BHG Pawtucket Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA ROMERO (DIRECTOR OF PAYOR CREDENTIALING)
(208) 283-7792
Entity
Organization
Contact information
Practice address
82 POND ST, PAWTUCKET, RI 02860-4462
(401) 727-1287
Mailing address
5001 SPRING VALLEY RD STE 600E, DALLAS, TX 75244-8217
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
04/30/2026
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