| Organization Name: | BHG XXVIII, LLC |
| NPI Number: | 1164833877 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES FREDERICK DRAUDT (COO) |
| Mailing Address: | 1639 Bruce Smith Pkwy West Plains |
| State: | MO US |
| Postal Code: | 657757691 |
| Phone Number: | 4172571833 |
| Fax Number: | 4172560488 |
| NPI Enumeration Date: | 05/15/2014 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 1941 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |