Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI # | 1154443331 |
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| LBN Legal business name | BRIGHTER HEIGHTS ARIZONA, LLC -FOSTER CARE | ||||
| Authorized official | BROOKE WILSON - (SENIOR CREDENTIALING SPECIALIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 04/06/2007 | ||||
| Last updated | 07/21/2022 - About 4 years ago | ||||
| Identifiers |
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