Organization Name: | BRIGHTER VISIONS COUNSELING |
NPI Number: | 1104226117 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FREDERICK SAMUEL BENNER (GENERAL PARTNER) |
Mailing Address: | 27 N Brown St Lewistown |
State: | PA US |
Postal Code: | 170441734 |
Phone Number: | 7172421428 |
Fax Number: | 7172481937 |
NPI Enumeration Date: | 08/27/2014 |
NPI Last Update Date: | 08/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 447028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |