OrganizationActive
Bhg Xlv, LLC
NPI 1992241400 · Substance Use Disorder Rehabilitation Clinic/Center · Tifton, GA
Provider details
- NPI number
- 1992241400
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jay Higham, Ceo(214) 365-6112
- License
- NTP001047 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801XLicense NTP001047 (GA)
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
2402 Tift Ave N
Suite 202
Tifton, GA 31794-1883
Phone: (757) 962-0748
Approximate (ZIP-level) locationGet directions
Mailing address
5001 Spring Valley Rd
Dallas, TX 75244-3946
Registry dates
- Enumerated
- 2017-01-09
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.