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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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