| NPI | 1245814656 |
|---|---|
| Doing Business As | BHG PROVIDENCE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | TONYA ROMERO Director Of Payor Credentialing 208-283-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2026-04-30 |