| Bhg Lxvi, Llc | |
|
794 Mcdonough Road Suite #104, Obot Room #100 Jackson GA 30233-1572 | |
| (770) 775-9044 | |
| (770) 775-9075 |
| Full Name | Bhg Lxvi, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 794 Mcdonough Road, Jackson, Georgia |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Lxvi, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Bhg Lxvi, Llc 794 Mcdonough Road Suite #104, Obot Room #100 Jackson GA 30233-1572 Ph: (770) 775-9044 |
| NPI Number | 1003510520 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003510520 | NPI | - | NPPES |
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