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Organization

VCPHCS V, LLC

Active
Other names
BHG Bogalusa 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
412 AVENUE B, BOGALUSA, LA 70427-3741
(214) 365-6100
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
101YA0400X
Addiction (Substance Use Disorder) Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM2800X
Methadone Clinic
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
03/29/2022
Last updated
07/29/2025
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