Organization
BHG LXXIX, LLC
Active
Parent organization
BHG LXXIX, LLC
Other names
BHG Medical Services - Rhode Island
Organization subpart
Yes
Provider details
NPI number
Legal business name
BHG LXXIX, LLC
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
985 PLAINFIELD ST, OBOT ROOM #100, JOHNSTON, RI 02919-6703
(401) 946-0650
(401) 946-2407
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
174400000X
Specialist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
12/23/2024
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