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NPI 1578497285

NPI 1578497285 : BEHAVIORAL HEALTH PROGRAMS : MOSS POINT, MS

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General NPI Number Information
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    NPI Number           |    1578497285
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEHAVIORAL HEALTH PROGRAMS 
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Dates
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    Enumeration Date     |    06/09/2026
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    Last Update Date     |    06/09/2026
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Provider Practice Location Address
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    Address Line         |    3725 MAIN ST 
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    City                 |    MOSS POINT
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    State                |    MS
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    Zip                  |    39563-5107
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    Country              |    US
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    Telephone            |    949-313-5245
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 9296 
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    City                 |    LAGUNA BEACH
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    State                |    CA
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    Zip                  |    92652-7261
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    Country              |    US
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    Telephone            |    949-313-5238
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    Fax                  |    727-363-6994
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Authorized Official
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    Title or Position    |    ADMINISTRATION
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    Name                 |     JASON  BIENEMAN 
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    Credential           |    
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    Telephone            |    949-313-5238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    323P00000X
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    Taxonomy Name        |    Psychiatric Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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