Organization
BRIGHT RECOVERY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN MUGISHA (OWNER/MANAGER)
(616) 818-8871
Entity
Organization
Contact information
Practice address
18940 W JEFFERSON ST, BUCKEYE, AZ 85326-5755
(616) 818-8871
Mailing address
18940 W JEFFERSON ST, BUCKEYE, AZ 85326-5755
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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