Organization
BRIGHTER AMBITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA LYNN WARREN (OWNER)
(813) 850-6831
Entity
Organization
Contact information
Practice address
3008 SPILLERS AVE, TAMPA, FL 33619-1922
(813) 850-6831
Mailing address
3008 SPILLERS AVE, TAMPA, FL 33619-1922
(813) 850-6831
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
08/28/2013
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