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Bhg Lxii Llc
Substance Use Disorder Rehabilitation Clinic/Center in Bogalusa, Louisiana
NPI 1821731472

Bhg Lxii Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Dallas, LA and is specialized in Rehabilitation, Substance Use Disorder. Bhg Lxii Llc practices in Bogalusa, LA. The NPI Number for Bhg Lxii Llc is 1821731472 and holds a License No. (Louisiana).

The current practice location address for Bhg Lxii Llc is 412 Avenue B, Bogalusa, LA and can be reached out via phone at 985-236-1579 and via fax at 985-236-1580.

Location: 412 Avenue B, Bogalusa, LA, 75244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821731472
Provider Name
Bhg Lxii Llc
Credential
Provider Entity Type
Organization
Address
412 Avenue B, Bogalusa, LA, 75244
Phone Number
985-236-1579
Fax Number
985-236-1580
Provider Enumeration Date
04/20/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
412 Avenue B
City
Bogalusa
State
Louisiana
Zip
70427-3741
Phone Number
985-236-1579
Fax Number
985-236-1580
person
Provider Business Mailing Address Details
Address
412 Avenue B
City
Bogalusa
State
Louisiana
Zip
70427-3741
Phone Number
985-236-1579
Fax Number
985-236-1580
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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