Organization
BHG XXXIV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
785 CUMBERLAND GAP PARKWAY, SUITE 3, CORBIN, KY 40701
(606) 526-9348
(303) 526-1541
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244-3946
(214) 365-6150
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
800197
KY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
810129
KY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100370850
—
KY
Enumeration date
01/29/2014
Last updated
12/27/2024
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