BHG XLV, LLC
Ambulatory Health at Tift Ave, Tifton, GA

License number
Georgia NTP001047
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
License number
Georgia NTP001047
Category
Ambulatory Health
Type
Methadone
License number
Georgia NTP001047
Category
Ambulatory Health
Type
Rehabilitation, Substance Use Disorder
Owner
Name: MR. DEREK WALSH
Title: VP OPS ADMIN
Phone: (580) 919-9759
Address
Address 2
2402 Tift Ave N SUITE 202, Tifton, GA 31794
5001 Spring Valley Rd Suite 600 EAST, Dallas, TX 75244
National Provider ID: 1992241400
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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