Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Methadone |
261QM2800X |
| NPI Number | 1386228781 |
| LBN Legal business name | BHG LVII, LLC |
| Authorized official | TONYA ROMERO - (DIRECTOR OF PAYOR CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/11/2021 |
| Last updated | 04/30/2026 - About a month ago |
| Identifiers | n/a |
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