Organization
PHOENIX HEALTH CENTER LLC
Active
Other names
BHG Maryland Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
217 E ANTIETAM ST, HAGERSTOWN, MD 21740-5724
(240) 420-0000
(240) 420-0002
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
MD10126M
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330305500
—
MD
Enumeration date
12/17/2014
Last updated
12/23/2024
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