# BRIGHT LIFE CARE RECOVERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013608496
- **Authorized official:** BRIGHT NGABIRE NTIMPA (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (602) 904-0088

## Contact information

- **Practice address:** 5060 N 19TH AVE STE 317, PHOENIX, AZ 85015-3213
- **Practice address phone:** (602) 904-0088
- **Mailing address:** 2220 W MISSION LN APT 2092, PHOENIX, AZ 85021-2896
- **Mailing address phone:** (602) 904-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2023
- **Last updated:** 05/17/2023