Organization
BHG XXXIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
410 UNIVERSITY PKWY, SUITE 1560, AIKEN, SC 29801-6810
(803) 641-6911
(803) 641-6595
Mailing address
5001 SPRING VALLEY RD, 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)
OTPN-0170
SC
261QM2800X
Methadone Clinic
OTPN-0170
SC
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
OTPN-0170
SC
Other
Enumeration date
05/04/2016
Last updated
12/27/2024
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