Organization · Type 2 NPI
BHG Lxxxvii, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Boise, ID
NPI number
1194435123
Active
Practice location
92 S Cole Rd, Obot Room #100
Boise, ID 83709-0930
Fax (208) 376-5020
Mailing address
5001 Spring Valley Road, Suite 600 East
Dallas, TX 75244-3946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Methadone Clinic | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1194435123
BHG Lxxxvii, LLC's National Provider Identifier is 1194435123, issued on Nov 30, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Boise, ID. The record was last updated on Sep 23, 2024.