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Bhg Xlv, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Tifton, Georgia
NPI 1992241400

Bhg Xlv, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Dallas, GA and is specialized in Rehabilitation, Substance Use Disorder. Bhg Xlv, Llc practices in Tifton, GA. The NPI Number for Bhg Xlv, Llc is 1992241400 and holds a License No. NTP001047 (Georgia).

The current practice location address for Bhg Xlv, Llc is 2402 Tift Ave N, Tifton, GA and can be reached out via phone at 757-962-0748.

Location: 2402 Tift Ave N, Tifton, GA, 75244-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992241400
Provider Name
Bhg Xlv, Llc
Credential
Provider Entity Type
Organization
Address
2402 Tift Ave N, Tifton, GA, 75244-3946
Phone Number
757-962-0748
Fax Number
Provider Enumeration Date
01/09/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2402 Tift Ave N
City
Tifton
State
Georgia
Zip
31794-1883
Phone Number
757-962-0748
Fax Number
person
Provider Business Mailing Address Details
Address
2402 Tift Ave N
City
Tifton
State
Georgia
Zip
31794-1883
Phone Number
757-962-0748
Fax Number
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.
NTP001047 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
NTP001047 (Georgia)
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.
NTP001047 (Georgia)
Definition
Definition to come...
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