Organization
BHG LXXIX, LLC
Active
Other names
BHG Medical Services - Rhode Island
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
160 NARRAGANSETT AVE RM 100, PROVIDENCE, RI 02907-3367
(401) 941-4488
(401) 552-4673
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244-3946
(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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