NPI | 1508499872 |
---|---|
Doing Business As | BHG PROVIDENCE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | JEMECE MICHELLE GASAWAY Director Of Licensing 337-263-2971 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2020-02-14 |
Last Update Date | 2020-02-14 |