Organization
BHG XLV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
2402 TIFT AVE N, SUITE 202, TIFTON, GA 31794-1883
(757) 962-0748
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)
NTP001047
GA
261QM2800X
Methadone Clinic
NTP001047
GA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
NTP001047
GA
Other
Enumeration date
01/09/2017
Last updated
12/27/2024
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