Bhgxxix, LLC
NPI #1508277229 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1508277229
- Entity Type
- Organization
- Organization Name
- Bhgxxix, LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- May 15, 2014
- Last Updated
- Dec 17, 2019
Practice Location
- Address
- 1369 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3313
- Phone
- (573) 772-7937
Authorized Official
- Name
- JEMECE MICHELLE GASAWAY
- Title
- DIRECTOR OF LICENSING
- Phone
- (214) 365-6126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Methadone — Methadone |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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