Organization
BRIGHTFUTURE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMESHA HUGHES-FRAZIER (CEO)
(252) 571-3072
Entity
Organization
Contact information
Practice address
10150 MALLARD CREEK RD STE 106, CHARLOTTE, NC 28262-4567
(704) 727-3375
Mailing address
6220 CHAVEL LN, CHARLOTTE, NC 28269-7144
(252) 571-3072
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/04/2024
Last updated
11/05/2024
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