Bhg Lxxxvii, LLC

NPI #1770298465 in Meridian, Idaho

Provider Information

NPI Number: 1770298465
Entity Type: Organization
Organization Name: Bhg Lxxxvii, LLC
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Jan 18, 2023
Last Updated: Sep 23, 2024

Practice Location

Address: 2275 SOUTH EAGLE ROAD, SUITE 190
Address 2: OBOT ROOM #100
City: Meridian
State: Idaho
ZIP Code: 83642-5079
Phone: (208) 288-0649

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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