NPI:
1033628466
Provider Name:
BHG LII, LLC
Doing Business As: BHG JACKSON TREATMENT CENTER
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 11D1036497
Address:
794 MCDONOUGH RD STE 104
JACKSON, GA
ZIP 30233
Phone:
(214) 365-6100
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BHG LII, LLC is a rehabilitation and substance use disorder clinic center in Jackson, GA. BHG LII, LLC NPI is 1033628466. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Jackson Treatment Center.
The provider's business location address is:
794 MCDONOUGH RD STE 104
JACKSON, GA
ZIP 30233-572
Phone: (214) 365-6100
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 11D1036497 - other - o/p opioid treatment with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/28/2017 and was last updated on 2/21/2019.