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Bhg Lxxix, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Pawtucket, Rhode Island
NPI 1902516917

Bhg Lxxix, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Dallas, RI and is specialized in Rehabilitation, Substance Use Disorder. Bhg Lxxix, Llc practices in Pawtucket, RI. The NPI Number for Bhg Lxxix, Llc is 1902516917 and holds a License No. (Rhode Island).

The current practice location address for Bhg Lxxix, Llc is 82 Pond St Rm 100, Pawtucket, RI and can be reached out via phone at 401-727-1287 and via fax at 401-727-1289.

Location: 82 Pond St Rm 100, Pawtucket, RI, 75244-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902516917
Provider Name
Bhg Lxxix, Llc
Credential
Provider Entity Type
Organization
Address
82 Pond St Rm 100, Pawtucket, RI, 75244-3946
Phone Number
401-727-1287
Fax Number
401-727-1289
Provider Enumeration Date
11/30/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
82 Pond St Rm 100
City
Pawtucket
State
Rhode Island
Zip
02860-4462
Phone Number
401-727-1287
Fax Number
401-727-1289
person
Provider Business Mailing Address Details
Address
82 Pond St Rm 100
City
Pawtucket
State
Rhode Island
Zip
02860-4462
Phone Number
401-727-1287
Fax Number
401-727-1289
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
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 3
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 4
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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