Organization · Type 2 NPI

Bhgxxix, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Poplar Bluff, MO

NPI number 1508277229 Active

Practice location

1369 N Westwood Blvd
Poplar Bluff, MO 63901-3313

Call (573) 772-7937 Map

Fax (573) 778-1315

Mailing address

5001 Spring Valley Road, Suite 600 East
Dallas, TX 75244-5603

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

Other substance use disorder rehabilitation clinic/center providers in Poplar Bluff

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NPI record

NPI: 1508277229
Entity type: Organization (Type 2)
Issued: May 15, 2014
Last updated: Dec 17, 2019
Status: Active

Other names

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BHG Poplar Bluff Treatment Center · doing business as
BHG Poplar Bluff Treatment Center · doing business as

Authorized official

Jemece Michelle Gasaway
Director of Licensing
(214) 365-6126

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508277229

Bhgxxix, LLC's National Provider Identifier is 1508277229, issued on May 15, 2014. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Poplar Bluff, MO. The record was last updated on Dec 17, 2019.