Organization
BRIGHTERLIFE HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHAOMA ROSE NNEBEDUM PMHNP (PRESIDENT)
(240) 467-0628
Entity
Organization
Contact information
Practice address
10903 INDIAN HEAD HWY STE 504, FT WASHINGTON, MD 20744-4012
(240) 493-4704
(301) 753-7003
Mailing address
1904 ROBERT BOWIE DR, UPPER MARLBORO, MD 20774-5667
(240) 467-0628
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/20/2020
Last updated
05/25/2021
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