Organization
BRIGHT PATH SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCHECA QUYONNIA BALLARD MS (CEO)
(219) 614-6234
Entity
Organization
Contact information
Practice address
615 E 92ND PL, MERRILLVILLE, IN 46410-8111
(219) 614-6234
Mailing address
615 E 92ND PL, MERRILLVILLE, IN 46410-8111
(219) 614-6234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201811061287762
BUSINESS ID
IN
Enumeration date
01/03/2019
Last updated
01/03/2019
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