| Bhg Lxxii, Llc | |
|
4373 Dowtowner Loop South Suite A Mobile AL 36609 | |
| (251) 461-6961 | |
| Not Available |
| Full Name | Bhg Lxxii, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4373 Dowtowner Loop South, Mobile, Alabama |
| Authorized Official Name and Position | Jemece Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Lxxii, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | Bhg Lxxii, Llc 4373 Dowtowner Loop South Suite A Mobile AL 36609 Ph: (251) 461-6961 |
| NPI Number | 1821698309 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 10/26/2020 |
| Certification Date | 10/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821698309 | NPI | - | NPPES |
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