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Organization
BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
Active
Organization
BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
Active
Parent organization
BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
Authorized official
ISLAMMIYYAH B AL-AMEEN (DIRECTOR OF PROGRAMS)
(410) 988-2655
Entity
Organization
Contact information
Practice address
4200 EDMONDSON AVE STE 200, BALTIMORE, MD 21229-1614
(410) 988-2655
(410) 988-2626
Mailing address
4200 EDMONDSON AVE STE 200, BALTIMORE, MD 21229-1614
(410) 988-2655
(410) 988-2626
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
03/22/2026
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