Bhg Lxxxvii, LLC

NPI #1194435123 in Boise, Idaho

Provider Information

NPI Number: 1194435123
Entity Type: Organization
Organization Name: Bhg Lxxxvii, LLC
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Nov 30, 2022
Last Updated: Sep 23, 2024

Practice Location

Address: 92 S COLE RD
Address 2: OBOT ROOM #100
City: Boise
State: Idaho
ZIP Code: 83709-0930
Phone: (208) 376-5021

Authorized Official

Name: ZACK RAGSDALE
Title: DIRECTOR
Phone: (512) 454-5911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Methadone — Methadone	261QM2800X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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