BHG XLV, LLC

NPI # 

Practice Address:

2402 Tift Ave N , Suite 202

Tifton, GA, 31794-1883

Practice Phone:

757-962-0748

License Number:

NTP001047

License State:

GA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X