NPI:
1073774667
Provider Name:
VCPHCS X, LLC
Doing Business As: BHG LONGMONT TREATMENT CENTER
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 06D1092844
Address:
850 23RD AVE
UNIT A
LONGMONT, CO
ZIP 80501
Phone:
(303) 245-0123
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VCPHCS X, LLC is a rehabilitation and substance use disorder clinic center in Longmont, CO. VCPHCS X, LLC NPI is 1073774667. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Longmont Treatment Center.
The provider's business location address is:
850 23RD AVE
UNIT A
LONGMONT, CO
ZIP 80501
Phone: (303) 245-0123
Fax: (303) 245-0119
The provider's authorized official is Jemece Michelle Gasaway .
The authorized official title is Director Of Licensing and has the following contact phone number (214) 365-6126.
The CLIA number assigned to this NPI record is 06D1092844 - other - opioid addiction treatmnt with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/17/2008 and was last updated on 2/20/2019.